Credentialing Specialist

Dallas, TX
Provider Partnerships
Full-time

Spreemo is a fast growing, Manhattan-based company developing a healthcare communication platform that connects doctors, patients and insurance companies. We’re seeking a full-time Credentialing Specialist in our new Dallas-based office to join our dynamic team.

The Credentialing Specialist will help Spreemo deliver excellent customer service both internally and externally.  The goal for this position is to credential and re-credential new provider organizations and their physicians in accordance with Spreemo’s internal credentialing policies and procedures.  

Job Responsibilities

    • Learn the challenges of the state of today’s healthcare system
    • Develop a deep understanding of patient care as well as the diagnostic testing landscape on a state-by-state basis and how it correlates to credentialing
    • Contact provider practices to initiate the credentialing/re-credentialing process through phone, fax and email correspondence
    • Maintain positive provider partnerships through the credentialing/ re-credentialing process by exhibiting exceptional customer service at all times
    • Manage the integrity of Spreemo’s credentialing database utilized across the company by executing systems to update maps, spreadsheets, CRM Software, and other internal resources that track credentialing efforts
    • Conduct credentialing/recredentialing provider enrollment processes and procedures 
    • Prepare physician level credentialing applications for CVO to be Primary Source Verified (PSV) as well as audit and process PSV report when received back from CVO in preparation for Spreemo’s Credentialing Committee
    • Generate reports to determine provider credentialing status and to identify re-credentialing needs
    • Conduct internal audits for accuracy among credentials to ensure compliance of Spreemo’s credentialing policies and procedures

Job Qualifications

    • Bachelor’s Degree
    • Ability to manage and prioritize multiple opportunities as once
    • You welcome a fast-moving, ever-changing landscape where your priorities may change as our needs change
    • A genuine and positive phone manner
    • Exhibit a willingness to learn and adopt new strategies
    • Possess effective written and oral communication skills
    • Strong sense of urgency and a passion for getting results and helping others

Preferred Qualifications

    • Understanding of national accrediting entities (NCQA, IAC, ACR, TJC)
    • Understanding of diagnostic testing services
    • Understanding of credentialing terminology
    • Previous experience as a Credentialing Specialist, strongly preferred
    • Knowledge of Primary Source Verification and Certified Verification Organizations
    • Knowledge of NPDB and/or CAQH 

ABOUT US

Spreemo is developing a progressive, web-based platform to connect doctors, patients and insurance companies. Our technology enables better patient care and huge cost savings for the healthcare industry. Our mission is to enable superior health services by leveraging technology to create transparency of both quality and outcomes. Spreemo is headquartered in Manhattan, NY. We offer competitive compensation, health insurance, a young and friendly work environment and monthly happy hours. We work hard to create an environment where our team will flourish. Key employees will have tremendous opportunities to take on increased responsibilities and grow professionally with Spreemo.