Credentialing Specialist at BASS MEDICAL GROUP

Walnut Creek, California, United States -

Full Time

Start Date

Immediate

Expiry Date

06 Feb, 26

Salary

66560.0

Posted On

08 Nov, 25

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Credentialing, Re-credentialing, Enrollment, Customer Service, Communication, Adaptability, Technical Skills, Medical Billing, Database Management, Multitasking, Prioritization, Attention to Detail, Teamwork, Independent Work, Positive Attitude

Industry

Medical Practices

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

Responsibilities

The Credentialing Specialist coordinates, monitors, and maintains the credentialing and re-credentialing process for providers. This role involves collecting materials, submitting enrollments, and managing credentialing databases.