Credentialing Specialist
BASS MEDICAL GROUPWalnut Creek, CA, USjob_description.job_card.variable_days_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_descriptionSubmit enrollments for providers with various payors. Follow up on enrollment statuses with payors. Maintain credentialing database & CAQH. Renew expirables, such as licenses & certifications. Submit notifications for offboarding providers and location changes. Monitor & maintain credentialing email. Manage Payor Portal emails and access. Additional duties assigned by the supervisor. 2+ years of experience in credentialing and enrollments in various healthcare settings (physician office preferred). 2+ years in managing various insurance types : HMO, FQHC, PPO, IPA, Medicare PECOS, Medi-Cal PAVE. Medical billing experience preferred. Excellent customer service skills. Excellent written and verbal skills. Adaptability / Flexibility High diligence. Proficient Technical skills (including Microsoft Excel, Outlook, Word, Adobe PDF, & Internet) Works well with various software applications, such as CredStream, Cactus, and CredentialMyDoc. Works well as a team and independently. Positive “can do” attitude. Other duties as assigned.
Job Description
Job Description
Description :
The Credentialing Specialist is responsible for coordinating, monitoring, and maintaining the credentialing and re-credentialing process for established providers and new providers joining the medical group. The Credentialing Specialist must be able to work independently with minimal oversite, think freely, and work in a fast paced, high volume work environment. The Credentialing Specialist must also be able to multitask and prioritize executing in a timely manner, be meticulous, have effective communication skills, and always want to learn more.
Responsibilities :
- Collect credentialing and re-credentialing materials for providers.
PECOS and PAVE enrollment, DME revalidation changes and Medicare Renewal Revalidations
Requirements :
Compensation Package
At BASS Medical Group, we understand that a comprehensive, high quality, and affordable health benefits program is now more essential than ever. The overall well-being of our employees is at the forefront of our focus. With this in mind, we offer our eligible employees a generous benefits program.
Health & Welfare Benefits : Medical through Anthem Blue Cross PPO, Low-Cost Dental and Vision, Medical FSA & HSA.
Retirement Savings & Income Security : Basic Life & AD&D Insurance, Long Term Disability, 401K plan with an employer contribution, Access to Financial Advisors, Identity Theft Program.
Work / Life Balance Benefits : Paid Time Off and Company Paid holidays, Life Assistance Program, Commuter & Parking Benefits, Secure Travel Services, Healthy Rewards Program, Will Preparation Program, Additional perks to include discounts for Cellular phone and Gym memberships.
Voluntary Benefits : Optional Life & AD&D Insurance, Aflac Supplemental Insurance, Pet Insurance
Reports To : Senior Credentialing Manager
Education
Some college no degree required or 2- 4 years of work experience.
Salary Range : $52,000-$66,560
Work Schedule : Monday-Friday 8 : 30am-5 : 00pm.
Start date : ASAP
On-Site position
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Credentialing Specialist • Walnut Creek, CA, US
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