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Provider Credentialing Coordinator

2 months ago

Long Beach CA, United States Argus Medical Management, LLC Full time
About Us:

At Argus Medical Management, LLC, we pride ourselves on being a leading physician practice management organization in Southern California, overseeing a network of over 200 clinics in Long Beach and its neighboring areas. Since our inception in 1995, we have been dedicated to enhancing the healthcare landscape through innovative management solutions and unwavering excellence. Our core values—integrity, collaboration, and a focus on client satisfaction—drive our commitment to superior service delivery. We invite you to be part of our mission to transform healthcare administration, where every position plays a vital role in fostering a healthier future for our communities.

Position Overview:

We are currently seeking a Provider Credentialing Coordinator to join our dynamic team. This role encompasses a variety of responsibilities, including:

  • Managing and executing all facets of credentialing for healthcare providers within a managed care framework.
  • Gathering, assessing, and authenticating provider credentials, which include licenses, certifications, educational background, and professional experience.
  • Performing primary source verification of credentials through diverse databases and authoritative organizations.
  • Ensuring the maintenance of precise and current provider records and databases, such as CAQH.
  • Collaborating with internal teams and external partners to secure essential documentation and information.
  • Assisting in the formulation and execution of credentialing policies and procedures.
  • Addressing inquiries from providers concerning their credentialing status.
Qualifications:

The ideal candidate will possess:

  • Experience in credentialing within a managed care environment.
  • A minimum of 2 years of familiarity with credentialing standards, regulations, and best practices.
  • Exceptional attention to detail and strong organizational capabilities.
  • Experience with provider enrollment processes involving PPO, HMO, and Government Payers.
  • Proficiency in managing provider enrollment follow-ups.
  • The ability to prioritize tasks effectively and meet deadlines in a fast-paced setting.
  • Excellent written and verbal communication skills.
  • Proficiency in Microsoft Office Suite.
Job Type:

Full-time

Compensation:

$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
Work Location:

In-person