Credentialing Specialist I - Full Time - Remote

X marks the spot!

Experity Earns 2022 Great Place to Work Certification™

Employees confirm positive workplace fostered by Experity, with over 90% of respondents saying they are proud to tell others that they work at the company.

We are the national leader in on-demand care solutions, and we take great pride to announce that Experity is now Certified™ by Great Place to Work® – the global authority on workplace culture, employee experience, and the leadership behaviors proven to deliver leading revenue, employee retention and increased innovation.

Experity is a fast-paced, high-growth company that considers its people to be its greatest strength, as they are the engine that powers the company’s driving mission to improve urgent care and the patient experience. Experity works diligently to continue meeting the wants and needs of employees and fostering a positive, balanced workplace culture.

We are the country's largest electronic health records company for the urgent care market and provide an integrated operating system. Nearly 50% of the U.S. urgent care market runs on Experity solutions. With Experity, providers can best meet the demands of the evolving on-demand space and deliver high-quality, high-velocity care by streamlining operations, improving patient experiences and optimizing revenue.

Experity's technology serves 5,700-plus clinics today across the US!

Great place to work article: https://www.experityhealth.com/news/experity-earns-2022-great-place-to-work-certification/

Benefits – We love all our X-tras! What’s in it for you?

• Team Building – We bring our Team Members together when we can to strengthen the team, build relationships and have fun! We even have a family company picnic and a holiday party
• Flexibility – Experity is committed to helping team members face the demands of juggling work, family and life-related issues by offering flexible work scheduling.
• Benefits - And of course all of our wonderful benefits: Medical, dental, vision, 401K (with company matching), paid time off and more!
• Career Development – Our Training Manager has created a learning program foundation for the company that will allow Team Members to explore their potential and achieve their career goals.
• Investing in You – We invest in our team members so they can reach their financial independence – Smart Dollar is a Step-By-Step Plan that helps our team members Eliminate Debt, Save For Emergencies, and Retire With Confidence

The Contracting and Credentialing Specialist I duties include research of credentialing requirements, completion of network participation and provider enrollment applications, creation of reports, document management, and direct client support. They are responsible for following outlined regulations, policies and procedures regarding CC processes.

This is an entry level position.

Responsibilities:

• Document workflows and processes and update credentialing status within VERITY
• Deliver accurate and timely status updates throughout the client's credentialing cycle
• Foster effective and positive business relationships with all parties throughout the client's credentialing cycle
• Basic information regarding various payer types ( commercial and government )
• Communicate with assigned Credentialing Senior Specialist on any identified issues and/or risk from assigned work
• Build and maintain professional relationships with team members as well as with other departments, clients and payer representatives
• Understand and perform the essential elements of the complete CC process including , but not limited to:
• Maintain confidential client, provider and company information at all times
• Other duties as assigned

Education and Experience:

• A minimum of one year experience in health care industry
• A high school diploma or equivalent
• Proficiency in Windows based applications including Word, Excel, PowerPoint, and Microsoft Office

Preferred:

• Experience with credentialing software, PECOS, CAQH, and other enrollment portals
• General knowledge of medical insurance, claims processing and coding a sit relates to contractual agreements
• Certification in healthcare billing or medical administration

Every team member exhibits our core values:

• Lift Others Up
• Set and Crush Goals
• Team First
• Delight the Client
• Share Openly