Medical Credentialer

3 weeks ago

Houston, United States Boson Health Full time
Job DescriptionJob Description

Seeking an efficient, experienced credentialer to manage insurance and hospital credentialing for busy multi-speciality physician practice and out-patient surgery center.

Credentialer Job Responsibilities:

  • Completes applications and reappointments for in a timely manner, ensuring continuous privileges.
  • Maintains CAQH, ensuring accurate information and timely re-attestations.
  • Track license, certification, and medical expirations to ensure timely renewals.
  • Maintains copies of current state licenses, certifications, and medical testing results.
  • Ensures compliance with company standards, and client requirements, State and Federal policies and regulations
  • Keeps team members updated, especially with newly onboarded providers or newly requested facilities.
  • Maintains rapport with insurance and hospital staff, facilitating communication and resolution of issues.


Qualifications

Credentialer Education and Experience Jobs Requirements:

  • Minimum: Associate's Degree in related field. Education may be substituted for related experience.
  • Ability to communicate effectively;
  • Ability to work independently;
  • Skilled in a variety of software applications such as Excel, Word, and Outlook programs.
  • Some medical knowledge or medical group practice knowledge helpful.
  • Two (2) years of related experience


Job Posted by ApplicantPro

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