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!