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Credentialing Specialist

  • Location: Birmingham, 35244
  • Salary: $19.00 - $20.00 / hour
  • Job Type:Contract

Posted 11 days ago

Are you looking for a new remote contract job? We have an immediate opening for a Credentialing Specialist that has worked in provider offices, have good customer service skills and understand medical terminology then send us your resume for immediate consideration. 

 This position involves extensive oral and written communication with providers in a professional and timely manner. The incumbent is responsible for coordinating efforts with several departments to ensure guideline compliance and provider education. This position assists with research on Participating agreements; and performs enrollment application quality reviews. This position is also responsible for ensuring accurate and timely IRS tax reporting compliance, staying abreast and implementing new IRS regulations and technologies such as TIN Matching, as related to the establishment of all provider records, 1099, B-Notice and backup withhold processes.

Credentialing specialists often work independently. This requires the specialist to be able to manage their workloads effectively to meet set deadlines. Strong computer skills are necessary for the input and maintenance of data, as well as for performing research regarding licensing or credentialing requirements in their area. Interaction with other medical professionals, office personnel, and the public is standard.

Job Duties

  • Maintain compliance with all regulatory and accrediting institutions
  • Monitor  credentials and licenses
  • Advise staff on renewal procedures
  • Participate in the development of internal credentialing processes
  • Keep records in licenses, credentials and insurance contracts
  • Release information to agencies and members of the public as required by law

Summary of Qualifications

  • Experience in claims, customer service or other related member or provider support role
  • Excellent written and oral communication skills
  • PC Skills
  • Strong attention to detail
  • Previous written and telephone correspondence experience preferred

Applicants are required to take and pass the Typing and Basic Computer Literacy assessment.

Candidates will be responsible for following the client's COVID-19 protocols. Please refer to your MATRIX representative for specifics.

About Us

At MATRIX, we expertly match talented professionals with job opportunities to elevate careers. Since 1983, we have placed thousands of professionals at innovative clients across every industry ranging from small startups to Fortune 50 companies. It’s why we’re consistently in the top 25 of all U.S. IT staffing firms and why our consultants rate us well above the industry average, earning us ClearlyRated's Best of Staffing awards year after year. People come to us for a job, and stay with us because of our top-notch consultant care.

MATRIX is and Equal Employment Opportunity employer including disability and veteran and provides reasonable accommodations for all qualified individuals.  Supporting medical or religious documentation will be required where applicable. If you are a qualified individual you may request a reasonable accommodation under the American Disability Act (ADA). If you are a person with a disability needing assistance applying, or at any point in the hiring process, please email us at MATRIX_HR@MatrixRes.com. To ensure a quick response to your request, please use the words “Accommodation request” as the subject line of your email.

For hourly W2 contract roles MATRIX offers a highly competitive benefit package including Medical, Dental, Vision, Life, Disability, HSA, and 401(k) with pre and post-tax options.  Please see MatrixRes.com/Benefits for more information.

For direct hire placement with our clients, benefits would be offered in accordance with that particular client’s offerings. This may include PTO, Medical, Dental, Vision, 401K and other pre and post-tax options.