Job Vacancy Credentialing Manager, Professional Services Bizmatics Inc

Job title: Credentialing Manager, Professional Services

Company: Bizmatics Inc

Job description: What your impact will be:

  • Captures and maintains current and accurate credentials and licensure information for clients
  • Tracks document expiration and re-credentialing dates, CAQH status and advises of upcoming expirations
  • Completes and submits insurance payer and hospital privilege applications with great attention to detail
  • Consistently monitors payer credentialing status and advises clients of additional information required
  • Provides primary source verification and facilitates background checks
  • Maintains knowledge of payer credentialing requirements across all 50 states
  • Assists clients with appeal letters
  • Provides consultation/advisory services and support to clients and other departments
  • Reviews payer contracts and assists with contract negotiation
  • Complies with all local, state, and federal laws
  • Maintains confidentiality of all client information
  • Develops close working relationship with supervisor, other members of the credentialing team, and sales team
  • Shows an eagerness to exceed client expectations

What we are looking for:

  • 3+ years of credentialing experience
  • Understanding of medical billing and coding
  • Knowledge of healthcare industry, HIPAA regulations and insurance company policies
  • Computer savvy
  • Excellent customer-facing and interpersonal skills
  • Multi-tasking, self-starter
  • Organized and detail oriented
  • CPCS certification is a plus

What we can offer:

  • Opportunity for challenging projects and professional growth
  • 3 weeks’ vacation and 5 personal days
  • Comprehensive benefit package
  • Lifestyle rewards
  • Flexible work options

Expected salary:

Location: Sacramento, CA

Job date: Sun, 26 Jun 2022 22:54:47 GMT

Apply for the job now!

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