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    Credentialing Assistant - Los Angeles, United States - APLA Health

    APLA Health
    APLA Health Los Angeles, United States

    5 days ago

    Default job background
    Description
    Job Details

    Job Location
    David Geffen Health Center, Koreatown - Los Angeles, CA

    Position Type
    Full Time

    Education Level
    AA - Associates Degree

    Salary Range
    $ $26.92 Hourly

    Travel Percentage
    None

    Job Shift
    Day: 8am - 5pm

    Job Category
    Admin - Clerical

    Description

    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 healthplans to term providers when they leave the agency.
    OTHER DUTIES MAY BE ASSIGNED TO MEET BUSINESS NEEDS.

    Qualifications

    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 vaccination is required and APLA Health will consider accommodations for medical- and religious-based reasons.

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