(Contract) Credentialing Specialist
We hold ourselves to exceptionally high standards in order to provide unparalleled service to healthcare professionals, their staff and patients. We strive to end each workday knowing that weve made someones life better.
Our team is comprised of courageous and caring healthcare warriors. Were here to solve the impossible problems, such as reducing medical errors, saving patient lives, and empowering physicians to stay financially independent. We care deeply about making a big impact and we are relentless.
Inspired to grow the company and our careers, we remain committed to daily discipline, self improvement, and a ceaseless search for solutions.
We equally value our work and our life apart from work. Were compelled to work with urgency, decisiveness, and efficiency in everything we do. This affords us freedom and time for things that matter most.
Leaders at pMD are developed through our mentorship program. Investing in the success of each individual strengthens our team and builds loyalty. We believe in leading by example. Everything one does ripples outward. Therefore, we need each individual at pMD to embody our leadership principles to thrive as an enduring great company.
(Contract) Credentialing Specialist
(Contract) The Credentialing Specialist Contractor role at pMD is responsible for completing contracting and credentialing applications, claims and remittance agreements, EFT enrollment applications, changes in medical practice information, participation status, roster updates, and follow up calls on these tasks. This entails transcribing practice and individual provider data into PDF forms or portal-based forms. This plays a vital role in maintaining accuracy and efficiency with our credentialing process. By diligently completing and following up on applications, our team helps to ensure that our carrier network remains robust and our clients receive the highest quality service.
Responsibilities include:
complete requests to contract and credential with insurance carriers
complete applications for group contracting and individual provider credentialing with insurance carriers
complete initial and reappointment applications for privileges at healthcare facilities
request changes in practice demographic information with insurance carriers
complete claims and remittance agreements via clearinghouse software and payer portals
complete and submit Electronic Funds Transfer enrollments to establish electronic payments from the insurance carriers
perform outreach to insurance companies to confirm status of applications and other change requests, including changes in medical practice information, participation status, and status of roster updates
review previous notes pertaining to credentialing requests in order to achieve the goal of each outreach attempt
record details about outbound calls to insurance carriers using task management software
document clear instructions regarding the next steps when applicable
communicate regularly with the Credentialing Department regarding any urgent matters, as well as weekly availability
Requirements include:
experience completing contracting/credentialing applications and outreach
experience/exposure to completing EDI agreements, preferred
experience/exposure to completing EFT agreements, preferred
availability during insurance carrier business hours (Monday - Friday, 8 am - 5 pm EST)
knowledge of basic medical credentialing and administrative terminology
exceptional attention to detail
must be able to work independently in a fast-paced environment
strong communication and problem solving skills
reside in the US
The compensation model for this role is designed to pay on a per-unit of completed work basis, allowing ultimate flexibility in how and when you want to work. Payment per task is as follows:
Follow-Up Call: $3.98/unit
Initial Hospital Privileges: $13.44/unit
Address Update: $2.98/unit
Roster Update/Initial Request/Link Provider: $5.97/unit
Initial Contracting/Credentialing Application: $13.44/unit
Re-credentialing/Reappointment Application: $8.96/unit
CAQH Attestation: $2.98/unit
ERA Enrollment: $5.97/unit
EFT Enrollment: $5.97/unit
There are no minimum requirements for working hours or hours per day for this position, but it does require availability between 8 am and 5 pm EST. Work is available on a first come, first serve basis, and you have complete flexibility on how many calls you want to make based on your free time and to meet your compensation goals.
We are only accepting applications through our online job portal, Lever. We aren't able to consider and respond to other types of applications, including those sent via email to pMD support, at this time. Please direct application status questions to [email protected].
Candidates must be authorized to work in the U.S. as a precondition of employment.
Apply Now
Our team is comprised of courageous and caring healthcare warriors. Were here to solve the impossible problems, such as reducing medical errors, saving patient lives, and empowering physicians to stay financially independent. We care deeply about making a big impact and we are relentless.
Inspired to grow the company and our careers, we remain committed to daily discipline, self improvement, and a ceaseless search for solutions.
We equally value our work and our life apart from work. Were compelled to work with urgency, decisiveness, and efficiency in everything we do. This affords us freedom and time for things that matter most.
Leaders at pMD are developed through our mentorship program. Investing in the success of each individual strengthens our team and builds loyalty. We believe in leading by example. Everything one does ripples outward. Therefore, we need each individual at pMD to embody our leadership principles to thrive as an enduring great company.
(Contract) Credentialing Specialist
(Contract) The Credentialing Specialist Contractor role at pMD is responsible for completing contracting and credentialing applications, claims and remittance agreements, EFT enrollment applications, changes in medical practice information, participation status, roster updates, and follow up calls on these tasks. This entails transcribing practice and individual provider data into PDF forms or portal-based forms. This plays a vital role in maintaining accuracy and efficiency with our credentialing process. By diligently completing and following up on applications, our team helps to ensure that our carrier network remains robust and our clients receive the highest quality service.
Responsibilities include:
complete requests to contract and credential with insurance carriers
complete applications for group contracting and individual provider credentialing with insurance carriers
complete initial and reappointment applications for privileges at healthcare facilities
request changes in practice demographic information with insurance carriers
complete claims and remittance agreements via clearinghouse software and payer portals
complete and submit Electronic Funds Transfer enrollments to establish electronic payments from the insurance carriers
perform outreach to insurance companies to confirm status of applications and other change requests, including changes in medical practice information, participation status, and status of roster updates
review previous notes pertaining to credentialing requests in order to achieve the goal of each outreach attempt
record details about outbound calls to insurance carriers using task management software
document clear instructions regarding the next steps when applicable
communicate regularly with the Credentialing Department regarding any urgent matters, as well as weekly availability
Requirements include:
experience completing contracting/credentialing applications and outreach
experience/exposure to completing EDI agreements, preferred
experience/exposure to completing EFT agreements, preferred
availability during insurance carrier business hours (Monday - Friday, 8 am - 5 pm EST)
knowledge of basic medical credentialing and administrative terminology
exceptional attention to detail
must be able to work independently in a fast-paced environment
strong communication and problem solving skills
reside in the US
The compensation model for this role is designed to pay on a per-unit of completed work basis, allowing ultimate flexibility in how and when you want to work. Payment per task is as follows:
Follow-Up Call: $3.98/unit
Initial Hospital Privileges: $13.44/unit
Address Update: $2.98/unit
Roster Update/Initial Request/Link Provider: $5.97/unit
Initial Contracting/Credentialing Application: $13.44/unit
Re-credentialing/Reappointment Application: $8.96/unit
CAQH Attestation: $2.98/unit
ERA Enrollment: $5.97/unit
EFT Enrollment: $5.97/unit
There are no minimum requirements for working hours or hours per day for this position, but it does require availability between 8 am and 5 pm EST. Work is available on a first come, first serve basis, and you have complete flexibility on how many calls you want to make based on your free time and to meet your compensation goals.
We are only accepting applications through our online job portal, Lever. We aren't able to consider and respond to other types of applications, including those sent via email to pMD support, at this time. Please direct application status questions to [email protected].
Candidates must be authorized to work in the U.S. as a precondition of employment.
Apply Now