Credentialing Specialist - Per Diem

OverviewBerryDunn is seeking a per diem Credentialing/Enrollment Specialist to join our Healthcare Credentialing Practice Area. Under the supervision of the Credentialing leadership team, the Specialist will be responsible for all aspects of provider and group enrollment, maintenance, credentialing/re-credentialing, including, but not limited to, CAQH activities, special projects, verification of application/documents, submission of enrollment or credentialing requests for consideration, initial and revalidation applications, approval, denial, termination letters, primary source verification (PSV) activities, and accurately loading provider information into the Credentialing database. The Credentialing Specialist works closely with the Credentialing leadership on servicing the client needs and meeting contractual obligations. The Credentialing Specialist will need to be available to provide support to clients and the team during the business day; evening and weekend hours may be requested or required as client and project needs arise. This position is planned to sit in our New Haven office location or remotely.Travel Expectations: This role requires minimal travel, less than 10% per year. You WillComplete enrollment and/or re-enrollment, revalidation applications for physicians, ancillary providers and facilities or groups with third-party payers and governmental programs (Medicare and Medicaid) as requested by the client in an accurate and timely mannerPerform Primary Source Verification (PSV) services including but not limited to verification of licenses, malpractice and work history; perform PSV file audits as requested.Complete, update and maintain Council for Affordable Quality Healthcare (“CAQH”) profiles for providersMaintain a Credentialing database in accordance with BerryDunn’s policies and procedures for all participating and non-participating providers with payer identification numbers and effective dates Partner with client liaisons, including billing departments to update the enrollment status of the providersContact payers to follow up on submitted applications within BerryDunn’s policiesRespond to various inquiries and requests for information from participating physicians, staff, hospitals, and managed care companies timely and with professionalismCommunicate with providers or their designees to obtain requisite credentialing information to facilitate timely completion and submission of required documentsUpdate client regularly on process and communicate any delaysContinuously inform Credentialing leadership of the project status and assist in managing expectations related to deliverables and deadlinesBe responsible for timely and accurately accounting of hours (billable and non-billable) in time and attendance software for proper billing of services renderedYou HaveHigh school education required, bachelor’s degree preferred3-5 years of relevant healthcare experience is required including specialized skills in Credentialing and/or Medical BillingCertified Provider Credentialing Specialist (CPCS), Certified Professional in Medical Staff Service Management (CPMSM), or Certified Provider Enrollment Specialist (CPES) certification a plusAbility to work independently, as well as, in a team settingExceptional organization and time management skills to manage priorities and deadlinesEffective verbal, interpersonal, and written skillsStrong attention to detail and qualityProficiency with Microsoft Office suite (Word, Outlook, Teams ) and Adobe; Excel preferredCompensation DetailsThe hourly rate for this role is $25.00-$30.00 per hour. This rate range represents BerryDunn’s good faith and reasonable estimate of the possible compensation at the time of posting. If an applicant possesses experience, education, or other qualifications more than the minimum requirements for this posting, that applicant is encouraged to apply, and a final rate may then be based on those additional qualifications; compensation decisions are dependent on the facts and circumstances of each case. The hourly rate for the finalist selected for this role will be based on a variety of factors, including but not limited to, years of experience, depth of experience, seniority, merit, education, training, amount of travel, and other relevant business considerations. BerryDunn Benefits & CultureOur people are what make BerryDunn special, and in return we strive to support our employees and help them thrive. Eligible employees have access to benefits that go beyond what’s expected to support their physical, mental, career, social, and financial well-being. Visit our website for a complete list of benefits and a look into our culture: Experience BerryDunn.We will ensure that individuals are provided reasonable accommodation to participate in the job application or interview process or perform essential job functions. Please contact careers@berrydunn.com to request an accommodation.We are committed to equal employment opportunity re