Credentialing Assistant
About The Position
Healthcare Outcomes Performance Company is a vertically integrated musculoskeletal outcomes management company. HOPCo manages physician practices, hospital service lines, population health and value-based care programs, and musculoskeletal delivery networks. The Credentialing Assistant is responsible for reviewing the Payer Credentialing status for all new providers, maintaining all rosters, updating CAQH provider profiles, and more. This role relies on instructions and pre-established guidelines to perform the functions of the job. The Credentialing Assistant also assists the Credentialing Supervisor and Credentialing Specialist in their job responsibilities/duties when necessary.
Requirements
- Must be able to communicate effectively with physicians, providers, licensing agencies, insurance payors, and the public.
- Must be capable of establishing good working relationships with both internal and external customers.
- Minimum of three to four years of experience in healthcare.
- High school diploma/GED or equivalent working knowledge preferred.
Nice To Haves
- 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.
Responsibilities
- 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.
- Reviews the Payer Credentialing status for all new providers.
- Maintain all rosters.
- Updating CAQH provider profiles.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
101-250 employees
