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Credentialing Specialist
Credentialing SpecialistBASS MEDICAL GROUP • Walnut Creek, CA, US
Credentialing Specialist

Credentialing Specialist

BASS MEDICAL GROUP • Walnut Creek, CA, US
23 days ago
Job type
  • Full-time
Job description

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

  • Submit 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.
  • Requirements :

  • 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.
  • 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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