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Credentialing Specialist

Company: Aspirion
Location: Lees Summit
Posted on: January 15, 2022

Job Description:

What is Aspirion?

Aspirion Health Resources is an industry-leading provider of complex claims management services. We specialize in Motor Vehicle Accidents, Worker's Compensation, Veterans Administration and Tricare, Complex Denials, Out-of-State Medicaid, and Eligibility and Enrollment Services. Our employees work in an environment that is both challenging and rewarding. We ask a lot out of our team members and in return we offer flexibility, autonomy, and endless opportunities for advancement. As we are committed to growth within the complex claims industry, we offer the same growth to our employees.

What do we need?

We are looking for a talented and proficient Credentialing Specialist to join our growing team. You will be joining an amazing team of individuals who love their job and you will have the opportunity to learn, be challenged, and grow your career. This is an exciting opportunity for someone seeking experience in medical billing and customer service. Ideal candidates will possess medical billing experience and a desire to help others.

What will you provide?

  • Process provider and facility enrollment and re-validation applications
  • Follow up on submitted applications to ensure they are received and approved
  • Set up and maintain provider information in an electronic database system
  • Track license and certification expirations for all providers to ensure timely renewals based on state guidelines
  • Manage inbound and outbound telephone calls from state payers
  • Research payer requirements and understand how the requirements impact provider enrollment process
  • Maintain strict confidentiality of patients' medical records and adherence to all HIPAA and Aspirion policies and regulations
  • Perform all other duties as assigned


    The following is a list of personal and professional competencies that must be present to succeed in this role.
    • Prioritize assignments to complete work in a timely manner
    • Work independently in a rapidly changing and growth-oriented environment with regularly changing priorities
    • Effective organizational, time-management and detail-oriented skills to handle multiple tasks and ensure accuracy
    • Learn and proficiently use internal systems that support the role, including learning state systems to process applications.
    • Good investigative and problem-solving abilities
    • Communicate effectively and professionally by phone or in writing, including writing grammatically correct account notes
    • Demonstrate outstanding customer service
    • Able to work easily and cooperatively with other departments
    • Must be able to adapt to frequent changes in in workload
    • Basic computer proficiency
    • High School Diploma/GED required
    • Previous credentialling experience preferred
    • Experience in a professional office environment preferred


      At Aspirion we invest in our employees by offering unlimited opportunities for advancement, a full benefits package, including health, dental, vision and life insurance upon hire, matching 401k, competitive salaries and incentive programs.

Keywords: Aspirion, Lee's Summit , Credentialing Specialist, Other , Lees Summit, Missouri

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