Credentialing Assistant
Healthcare Outcomes Performance Co. (HOPCo), Phoenix, AZ, United States
The Credentialing Assistant is responsible for reviewing the Payer Credentialing status for all new providers, maintain all rosters, updating CAQH provider profiles, and more.
Qualifications
Must be able to communicate effectively with physicians, providers, licensing agencies, insurance payors, and the public and be capable of establishing good working relationships with both internal and external customers.
Some knowledge of insurance billing and hospital credentialing is a plus.
Knowledge of the credentialing process is a plus but not required.
Knowledge of credentialing timelines and regulations is a plus but not required.
Minimum of three to four years of experience in healthcare.
High school diploma/GED or equivalent working knowledge preferred.
Essential Functions
Reviews and Re-Attest all provider's CAQH profiles.
Maintain billing insurance grid, provider insurance grid, and each physician’s spreadsheet up to date on current insurance changes.
Has knowledge of Employee Handbook content along with established policies and procedures.
Relies on instructions and pre-established guidelines to perform the functions of the job.
Assists the Credentialing Supervisor and Credentialing Specialist in their job responsibilities/duties when necessary.
#J-18808-Ljbffr
Qualifications
Must be able to communicate effectively with physicians, providers, licensing agencies, insurance payors, and the public and be capable of establishing good working relationships with both internal and external customers.
Some knowledge of insurance billing and hospital credentialing is a plus.
Knowledge of the credentialing process is a plus but not required.
Knowledge of credentialing timelines and regulations is a plus but not required.
Minimum of three to four years of experience in healthcare.
High school diploma/GED or equivalent working knowledge preferred.
Essential Functions
Reviews and Re-Attest all provider's CAQH profiles.
Maintain billing insurance grid, provider insurance grid, and each physician’s spreadsheet up to date on current insurance changes.
Has knowledge of Employee Handbook content along with established policies and procedures.
Relies on instructions and pre-established guidelines to perform the functions of the job.
Assists the Credentialing Supervisor and Credentialing Specialist in their job responsibilities/duties when necessary.
#J-18808-Ljbffr