Medical Credentials Expert

1 day ago


Long Beach, California, United States Argus Medical Management, LLC Full time

Welcome to Argus Medical Management, a leading healthcare management company with over 25+ years of experience in Southern California.

We operate and manage over 200 clinics in Long Beach and the surrounding areas, dedicated to transforming healthcare through innovation and excellence.

A high volume of candidates may apply for this position, we encourage you to send your CV and application as soon as possible.

Our mission since inception in 1995 has been to elevate the industry with our core values of integrity, collaboration, and client-focused solutions. At Argus, we're passionate about revolutionizing healthcare administration and creating a brighter, healthier future for all.

**Credentialing Specialist - Healthcare Professional Verification Role**

We seek an experienced Credentialing Specialist in healthcare to verify the credentials of healthcare professionals, ensuring they meet industry standards and regulatory requirements.

The ideal candidate will have a strong background in credentialing processes and a thorough understanding of healthcare regulations.

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.

Qualifications:

  • 2 years' experience in healthcare credentialing standards, regulations, and best practices.
  • Strong attention to detail and excellent organizational skills.
  • Experience in 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.

Salary: $28-$36 per hour

Benefits:

  • 401(k)
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Schedule:

  • 8-hour shift
  • Monday to Friday

Experience:

  • Credentialing Specialist: 2 years (Required)


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