
Credentialing Specialist
1 day ago
Company Description
Zealie specializes in automating revenue cycle management for the Behavioral Health and Substance Abuse Treatment industry, enhancing claim reimbursement rates and adjudication speeds through data-driven analytics. Based on a synergy of billing experts, industry professionals, and in-house software developers, Zealie offers comprehensive billing services and rich analytical insights. Our solutions allow real-time monitoring of key performance indicators, interactive heat maps, and accurate revenue forecasting, supporting informed business decisions and optimized reimbursement rates.
Role Description
This is a full-time remote role for a Credentialing Specialist. The Credentialing Specialist will be responsible for managing the credentialing process for healthcare providers, ensuring compliance with Medicare and other regulations, and providing excellent customer service. Day-to-day tasks include verifying credentials, maintaining up-to-date records, and communicating with insurance companies and healthcare providers to resolve issues.
Qualifications
- Experience in Behavioral and Medical Credentialing for Facilities and Providers
- Minimum 3 years of Credentialing experience on paper
- Strong Communication and Customer Service skills
- Knowledge of In-Network application submission via portal and forms is mandatory
- Ability to work independently and remotely
- Excellent organizational skills and attention to detail
- Previous experience in the healthcare or billing industry is a Mandatory
- Bachelor's degree in Healthcare Administration, Business, or related field is preferred
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