Crededntialing Specialist - Temporary Full Time

INDEPENDENT PRACTICE MANAGEMENT LLC • Sacramento, CA

just now • Onsite

About The Position

Pulmonary Medicine Associates (PMA) has been treating patients in the greater Sacramento area since 1973 and is a unique and exciting place to work. With specialties that include critical care, infectious disease, palliative care, pulmonology, pediatric pulmonology, and sleep medicine. We are a busy practice with over 80 providers that serves multiple hospitals and has 2 outpatient clinic locations. PMA currently has a Temporary full-time Credentialing Specialist position available. This temporary position is Monday-Friday for 6 months from the start date. PMA is an equal opportunity employer.

Requirements

• High school diploma or GED. Associates degree in a related field OR a minimum of 2+ years of related work experience in a medical environment.
• Experience with PAVE, PECOS CAQH required.
• Must be highly organized.
• Excellent phone etiquette and verbal communication skills.
• Strong customer service skills and ability to establish and maintain effective working relationships with other employees, hospitals, insurance companies, etc.
• Excellent detail orientation and ability to maintain accurate records.
• Ability to maintain confidentiality of sensitive information.
• Ability to work independently and juggle multiple priorities.
• Good working knowledge of MS Office (Word and Excel). Must be able to accurately type 45 WPM.

Nice To Haves

• Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) a plus.

Responsibilities

• Processes credentialing and re-credentialing applications of PMA health care providers.
• Coordinates with providers to gather information, such as licensing, CV, peer references, privileges lists/procedures history,
• Performs data entry.
• Prepares and submits applications for insurances, hospitals and malpractice insurance.
• Communicates regularly with applicants, providers and medical office staff to ensure credentialing is timely and completed as efficiently as possible.
• Acts as PMA liaison to hospitals and insurance companies and interprets, explains and follows all institution-specific rules, regulations and polices related to credentialing process.
• Prepares related records and reports.
• Performs other related duties as required or requested.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 1-10 employees