Credentialing Assistant

This position will pay $23.37 – $27.45. Salary is commensurate with experience.

POSITION SUMMARY:

Credentialing Assistant will report to the Associate Director of Human Resources. Will assist with the day to day administrative tasks related to provider credentialing.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

· Responsible for scanning and uploading credentialing files onto Paycom.

· Tracks all outstanding paperwork and contacts providers when needed.

· Responsible for running monthly reports for credentialing updates.

· Pre-populate credentialing applications for providers to expedite submission to health plans.

· Contacts health plans for quarterly roster reports.

· Contacts health plans to verify enrollment once submitted to health plan at the 60, 90 or 120 day mark depending on health plan

· Connects with Clinic Managers on a monthly basis to ensure that provider locations and schedule change (days/hours) are accurate; and maintains spreadsheet with this information.

· Inputs dates for health plans, credentialing, and Board Approval documents onto Paycom.

· Reaches out to health plans to term providers when they leave the agency.

OTHER DUTIES MAY BE ASSIGNED TO MEET BUSINESS NEEDS.

REQUIREMENTS:

Training and Experience:

Must possess an AA degree and have 2 years of credentialing or administrative experience or equivalent of both degree and work experience. Must be organized, computer savvy and detail oriented. Possess clear and effective oral and written communication skills.

Knowledge of:

Outlook, Microsoft Word and Microsoft Excel, Paycom (Preferred).

Ability to:

Meet all deadlines, be persistent, strong organizational skills and detail oriented. Work with people of diverse cultural, educational, social and economic backgrounds. Must have willingness to learn process of Credentialing.

WORKING CONDITIONS/PHYSICAL REQUIREMENTS:

This is primarily an office position that requires only occasional bending, reaching, stooping, lifting and moving of office materials weighing 25 pounds or less. The position requires daily use of a personal computer and requires entering, viewing, and revising text and graphics on the computer terminal and on paper.

SPECIAL REQUIREMENTS:

Must possess a valid California driver’s license; proof of auto liability insurance; and have the use of a personal vehicle for work related purposes.

COVID-19 Vaccination and Booster or Medical/ Religious Exemption required.

Equal Opportunity Employer: minority/female/disability/transgender/veteran

https://www.paycomonline.net/v4/ats/web.php/jobs/ViewJobDetails?job=114153&clientkey=A5559163F67395E0A2585D2135F98806