ClinicMind is a leading company in providing Healthcare IT and RCM services, including EHR software and medical billing in the US. We are looking for a full-time Credentialing Specialist to help us keep growing. If you're excited to be part of a winning team, ClinicMind is a perfect place to get ahead.

RESPONSIBILITIES

1. Manage the credentialing needs of our clients:

• Collect all the required documentation for credentialing such as accreditation, membership, and facility privileges (e.g., License, NPI letter)

• Assist providers with completing payer forms and ensure compliance with payer’s expectations

• Keep client providers and coaches informed about the status of their credentialing

• Maintain accurate and current client information  

• Alert clients about new regulations, expiring certificates, reapplications, and deficiencies in credentialing requirements

• Medicare and Medicaid Enrollment experience is a must. (Complete credentialing applications to add providers to commercial payers, Medicare, and Medicaid)

• Decent knowledge of portals like CAQH and PECOS is mandatory.

1. Drive the implementation of the automated credentialing workflow management system:

• Prototype

• Provide requirements to software developers

• Test the implementation 

QUALIFICATIONS

1. Minimum 2-3 years of  experience in US-based Credentialing process

2. Familiar with the US medical insurance industry 

3. Excellent listening, communication, and problem-solving skills

4. Self-motivated and able to work autonomously

MUST HAVE:

1. High comfort level working on Eastern Time Zone/US Shift - Must be available for practice meetings to discuss progress during East Coast Business Hours

2. Good internet access at home

3. Mobile Hotspot

4. Laptop/Desktop of at least 8 GB