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Medical credentialing specialis

Group Management Services

This is a Full-time position in Simi Valley, CA posted May 23, 2019.

Medical Credentialing Specialist: The Client Services department provides enrollment, credentialing and contracting services for its clients. The department is looking for an associate who will be responsible for preparing and submitting enrollment and credentialing applications to insurances as well as maintaining provider credentialing files. This position reports directly to the Vice President of Client Services.

In this position, you will interact with employees on all levels of the organization as well as clients and their support staff.

The ideal candidate for this position should be detail oriented, have a working knowledge of Medicare and Medicaid enrollment, insurance credentialing, and excellent communication skills.

Responsibilities Enroll providers and their group in Medicare and Medicaid Prepare and submit insurance applications on behalf of the providers Correspond with new providers and collect necessary credentialing documents Add new providers to our billing system and credentialing software Update existing providers in our billing system and credentialing software Create and maintain the group and provider’s CAQH profile Revalidate providers with Medicare and Medicaid Re-credential providers with insurances Map applications in our credentialing software Take on additional responsibilities as needed Qualifications Detail oriented Excellent organizational skills Excellent oral, written and interpersonal communication skills required Able to work both independently and as part of a team Display initiative and creativity Good attendance and availability is required Education & Experience 1 2 years credentialing experience required; 3+ preferred Existing working knowledge of Intelliapps preferred Benefits: Sick and vacation time, as well as health, dental, vision, life insurance, and short/long term disability coverage.

Compensation: Dependent on education and experience level.