Credentialing Assistant
About The Position
BerryDunn is seeking a Credentialing Assistant to join its Healthcare Credentialing Practice Area. Under the supervision of the Credentialing leadership team, this role supports credentialing and re-credentialing, including Primary Source Verification (PSV), enrollment, and privileging processes. Work includes creating provider files in a secure system; receiving, reviewing, sorting, and saving provider documents; entering provider information in the Credentialing database; maintaining CAQH profiles; and following up on outstanding provider and client items. The role works closely with Credentialing leadership to support the team and client needs while meeting departmental, organizational, and contractual obligations. It offers growth opportunities and is planned to be remote, with minimal travel of less than 10% per year; travel to client sites can range up to 10%. The Credentialing Assistant also supports reporting, ongoing monitoring, BerryDunn’s NCQA certification, special projects, client engagements, and general administrative tasks. The position requires accurate tracking of billable and non-billable hours and cross-training as backup for other Administrative Team members.
Requirements
- High school diploma.
- Ability to work independently and as part of a team.
- Excellent organization and planning skills to manage priorities and deadlines.
- Excellent written and verbal interpersonal and communication skills.
- Strong attention to detail and quality.
- Proficiency with Microsoft Office (Word, Outlook, Excel, and Teams) and Adobe Acrobat/Adobe Sign.
Nice To Haves
- Two to three years of relevant experience; specialized skills in administrative or project support, customer service, credentialing, and/or medical billing are preferred.
Responsibilities
- Receive initial and recredentialing provider documents, review and sort them, and save them in the appropriate secure-server folders.
- Accurately enter provider and client information into the Credentialing database.
- Assist with Credentialing database maintenance in accordance with BerryDunn policies and procedures, including provider payer identification numbers and effective dates as requested.
- Follow up on and track outstanding provider and client documents.
- Generate and prepare reports from the Credentialing database for the Credentialing team.
- Generate, review, save, and circulate recurring ongoing-monitoring reports for clients and internal stakeholders.
- Maintain policy and supporting documents for BerryDunn’s NCQA certification and assist with file audits as requested.
- Provide administrative support for special projects and client engagements, including conducting research and maintaining business development files.
- Complete, update, and maintain provider CAQH profiles as requested.
- Assist with faxing and scanning activities as needed.
- Keep Credentialing leadership informed of project status and assist with managing expectations related to deliverables and deadlines.
- Accurately and promptly record billable and non-billable hours in time and attendance software for billing purposes.
- Cross-train as backup for other Administrative Team members.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
