Provider Credentialing Assistant

 Posted 20 days ago
     
0-2 years experience
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AI Summary

The role focuses on preparing, submitting, and tracking provider credentialing applications for insurance organizations. Additionally, it involves maintaining credentialing files and monitoring databases for expiring licenses and certifications.

Description

Position Summary:  

Reports to the Contracting and Credentialing Manager. Primary responsibility includes but is not limited to preparing and submitting provider credentialing applications to insurance organizations and tracking follow-up. This position will also support the Provider Onboarding and Credentialing Coordinator, as needed, with provider intake data and maintenance of credentialing files. 

 

Duties and Responsibilities

  • Prepare, submit, and follow-up on provider credentialing applications 
  • Maintain a detailed log of all pending and completed work in credentialing software 
  • Assist with intake documents and input data into credentialing software and credentialing database 
  • Assist with monitoring database for pending expirations of licenses, certifications, malpractice insurance, etc. 
  • Ability to work in a fast-paced environment 
  • Maintain confidentiality and integrity in all aspects of the credentialing process. 
  • Other duties as assigned. This is a safety-sensitive position. 


Requirements

Education

  • High School Diploma or equivalent. Associate or Bachelor Preferred. 

Experience

  • High school diploma or equivalent o 1+ years of medical credentialing is preferred 

Skills

  • Strong written and verbal communication skills 
  • Demonstration of a professional and adaptable demeanor 
  • Requires initiative and the ability to follow directions 
  • Strong organizational skills and attention to detail 
  • Ability to work independently with minimum supervision, set priorities, and follow through 
  • Skill of proficiency in computer applications Word, Excel, Adobe o Working knowledge of CAQH and PECOS preferred 

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