Credentialing Specialist
3 weeks ago
We are one of the few successful physician practice management companies in Southern California We own and manage over 200+ clinics in Long Beach and surrounding cities. At Argus, we're not just a healthcare management solutions provider; we've been passionate about transforming the industry through innovation and excellence since opening in 1995. Our commitment to delivering top-tier services stems from our core values of integrity, collaboration, and client-focused solutions. Join us in revolutionizing healthcare administration, where every role contributes to a brighter, healthier future for all.
*We're seeking a Credentialing Specialist to join our team. *
*Duties:*
- 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:*
- Experience in credentialing within a managed care setting.
- Ideally 2 years experience of 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.
- Ability to prioritize tasks and meet deadlines in a fast-paced environment.
- Excellent written and verbal communication skills.
- Proficient in Microsoft Office Suite.
Job Type: Full-time
Pay: $24.00 - $28.00 per hour
Benefits:
* 401(k)
* Dental insurance
* Health insurance
* Life insurance
* Paid time off
* Vision insurance
Schedule:
* 8 hour shift
* Monday to Friday
* No weekends
Ability to Relocate:
* Long Beach, CA: Relocate before starting work (Required)
Work Location: In person
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