Credentialing & Contracting Specialist

Overview

Looking for full-time work (8 hours/day)

at $5.33/hour ($1,024.00/month)

Bachelors degree

Last Active

March 5th, 2025 (480 days ago)

Member Since

March 5th, 2025

Profile Description

Managed and completed the credentialing process for providers and clinics with insurance companies.
Maintained and updated provider and clinic information in payer systems and internal databases. Ensured
timely submission and follow-up of all required documents to meet payer deadlines.
Facilitated the contracting process between the clinic and insurance payers. Reviewed and analyzed contract
terms to ensure alignment with clinic goals and compliance with regulations. Negotiated terms,
reimbursement rates, and other contract details to secure favorable agreements.
? Acted as the primary liaison between the clinic and insurance payers during the credentialing and contracting
process. Resolved issues and discrepancies promptly to avoid delays in network inclusion. Built and
maintained positive relationships with payer representatives.
Ensured compliance with federal, state, and payer-specific guidelines throughout the credentialing and
contracting process. Maintained organized records of all applications, contracts, and correspondence.
Monitored and updated credentialing and contract renewal timelines to prevent lapses.
Worked closely with administrative staff to align credentialing and contracting activities with clinic objectives.
Provided regular updates on credentialing status and contracting progress.