Bold Business

Compensation

Full Description

Job Summary: We are seeking a highly detail-oriented and organized individual to join our team as a Credentialing Specialist. This position will be responsible for accurately entering and maintaining provider credentialing data into our electronic database. The successful candidate will be responsible for ensuring that all provider credentials are up-to-date and compliant with state and federal regulations. As a Data Enrichment Specialist, you will be joining our Data Enrichment team to support the execution of licensing in the healthcare field for our clients. You’ll be held to a high quality of work standard and will be a contributor to the quality control process. ​​What will you do? • Responsible for reviewing and completing Enrichment Tasks as defined and trained by the client • Primary work will be application data entry, vendor resource verifications, board certifications, and following up with various state boards for statuses • Responsible for timely and quality execution of tasks • Involved with either voice or non-voice processes, as required. • Manage either inbound/outbound calls in a professional manner. • Verifying information provided to our client by 3rd party entities by using online databases to cross-check information. • Responsible for revalidation requests issued by government payers • Responsible for Submitting completed credentialing application and supporting documentation to all requested payers • Responsible for monitoring application progress and following up with payers as needed until confirmation of “in network” status has been received • Utilizes strong research skills to gather pertinent information regarding providers • Audits applications for accuracy and completeness • Ability to demonstrate a high degree of trust and confidentiality • Performs other duties as assigned Qualifications: • Experience in an outbound/inbound call center, inside sales experience, or related sales or customer service experience required. Familiar with provider credentialing and re-credentialing requirements is a plus. • Excellent written and verbal communication skills. • Adaptable and flexible, demonstrating abilities to work with process and information changes • Ability to work independently or as an active member of a team • Strong analytic computer and software skills About Bold Business: Bold Business is a US-based global business process outsourcing (BPO) firm with over 25 years of experience and $7B+ in client engagements. We help fast-growing companies scale through smart talent strategies, automation, and technology-driven solutions. Bold Business recruiters always use a “@boldbusiness.com” email address and/or from our Applicant Tracking System, Greenhouse. Any variation of this email domain should be considered suspicious. Additionally, Bold Business recruiters and authorized representatives will never request sensitive information in email or via text.