Credentialing Specialist

Argus Medical Management is a physician practice management company that has served physician communities in the greater Long Beach, Los Angeles, Orange County, and Inland Empire areas for 30+ years. Argus Medical provides comprehensive billing and managements services which include contracting, credentialing, HR services, accounting, etc. to support Physicians in private practice.

Job Type : Full-time, Direct hire

Pay : $28-36 per hour

Hours : Mon-Fri, 8 hours shift

Primary Responsibilities :

• Process and manage all aspects of credentialing for healthcare providers within a managed care organization.
• Collect, review, and verify provider credentials, including licenses, certifications, education, and work history.
• Conduct primary source verification of credentials through various databases and organizations.
• Maintain accurate and up-to-date provider files and databases, such as CAQH.
• Coordinate with internal departments and external entities to obtain necessary documentation and information.
• Assist in the development and implementation of credentialing policies and procedures.
• Respond to inquiries from providers regarding their credentialing status.

Requirements :

2 years experience of healthcare credentialing standards, regulations, and best practices.

Strong attention to detail and excellent organizational skills.

Experience provider enrollment with PPO, HMO, and Government Payers.

Experience in provider enrollment follow-ups.

Excellent written and verbal communication skills.

Proficient in Microsoft Office Suite.

7.15

Argus Medical Management is an equal opportunity employer

Job Type : Full-time

Pay : $28.00 - $36.00 per hour

Benefits :

401(k)

Dental insurance

Health insurance

Life insurance

Paid time off

Vision insurance

Schedule :

8 hour shift

Monday to Friday

Work Location : In person