Posted Aug 06, 2022 246 views
Meds Nexus is looking for an experienced Credentialing Associate.
What You'll Do:
- Credentialing Associate maintains regular cooperation and compliance with all regulatory, accrediting, and membership-based organizations. Initiate and support the practitioner application process by sending, receiving, and analyzing practitioner documents and data import to determine completeness in preparation for the credentials verification process
- Responsible for gathering, verifying, and evaluating highly confidential and sensitive health care practitioner credentials consistent with departmental guidelines and accreditation standards.
- Efficiently perform all aspects of credentialing verification, including initial credentialing and re-credentialing to ensure current credentials and timely handoff and/or review and approval of practitioner files
- • Respond to all practitioner, client health plan, and internal inquiries promptly
- Monitor expiring licensure, board, and professional certifications, and other applicable documents with practitioners within the prescribed timeframe
- Maintain practitioner paper and electronic data files for CAQH to submit practitioner data as required to credential individual practitioners
- Responsible for accurate data entry to ensure the integrity of credentialing information in the applicable database
- Collaborate with participating clients, department managers, and/or external agencies to facilitate and ensure smooth hand-off during the credentialing process
- Use critical thinking skills to conduct follow-ups with individual practitioners and internal and external entities to resolve discrepancies identified during the credentialing process
- Share responsibility for reviewing, processing, and distributing incoming correspondence (i.e., interdepartmental mail, fax, and email)
What we’re looking for:
- Knowledge of medical credentialing and privileging procedures and standards
- Excellent verbal and written communication skills
- Proficient in Microsoft Office Word and Excel
- Ability to focus for extended periods of 6 months to 1-year before experience in Credentialing
Meds Nexus provides a great career path and our employees are compensated with competitive compensation commensurate with their experience, please let us know if you are in the market to work as a Credentialing Associate. We prefer prospects seeking full-time employment.
Job Rewards and Benefits:
- Paid Leaves
- Lucrative Monthly Bonuses (TBD)
- Promotion and Increment after probation period (3 months)
- Medical (TBD)
- EOBI (TBD)
- Saturday and Sunday are holidays.
- Transportation allowances
- Complementary Food (Dinner) & Tea (Two times)
Job Timing:
- 05:00 PM To 02:30 AM (PST)
Skills
Job Details
Meds Nexus (Private Limited)
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