- 2+ years of experience in credentialing and enrollments in various healthcare settings (physician office preferred).
- 2+ years in managing various insurance types: HMO, PPO, Medicare, Medi-Cal
- Medical billing experience preferred.
- Excellent customer service skills.
- Excellent written and verbal skills.
- High attention to detail.
- Proficient Technical skills (including Microsoft Excel, Outlook, Word, Adobe PDF, & Internet)
- Works well with various software applications, such as CredentialMyDoc.
- Works well as a team and independently.
- Positive "can do" attitude.
-
Credentialing Specialist
3 weeks ago
Catalight Walnut Creek, United StatesThe Credentialing Specialist provides administrative assistance and oversight of all clinical staff credentialing. Duties include verification of licenses and credentials, maintaining databases, ensuring staff members possess the required licenses and credentials, and coordinatin ...
-
Credentialed Education Specialist
4 days ago
SPG Therapy & Education San Ramon, United StatesSPG Therapy & Education is currently hiring Education Specialists for school-based positions. SPG is dedicated to providing all employees with a unique mentoring program and maintaining strong, collaborative client relationships. Founded and run by clinicians, SPG Therapy & Educa ...
-
Credentialed Education Specialist
4 days ago
SPG Therapy & Education Pacifica, United StatesSPG Therapy & Education is currently hiring Education Specialists for school-based positions in the following areas: Alameda county, Contra Costa county, and San Mateo County in addition to San Francisco Bay Area. SPG is dedicated to providing all employees with a unique mentorin ...
-
Credentialing Specialist
6 days ago
MedAmerica, Inc. Emeryville, United StatesRemote, Nationwide – Seeking Credentialing Specialist · Everybody Has A Role To Play In Transforming Healthcare · If you want to be part of changing healthcare to better serve patients, you are in the right place. With Vituity you will join a team of individuals dedicated to our ...
-
Credentialed Education Specialist
3 weeks ago
SPG Therapy & Education San Ramon, United StatesSPG Therapy & Education is currently hiring Education Specialists for school-based positions. SPG is dedicated to providing all employees with a unique mentoring program and maintaining strong, collaborative client relationships. Founded and run by clinicians, SPG Therapy & Educa ...
-
Credentialing Specialist I
1 week ago
Search Pros Inc Fairfield, United StatesPOSITION PURPOSE · To gather and validate healthcare practitioner credentialing information in accordance with regulatory and accreditation standards. Interacts with practitioners by phone to ensure timely receipt of information. Responds to inquiries via telephone and email. · ...
-
Behavioral Interventionist
14 hours ago
Cortica Walnut Creek, United StatesWe are immediately hiring a Behavior Interventionist in San Rafael, San Francisco, East Bay and surrounding areas to provide play-based ABA therapy to our families in the home, community, school, or clinic. · At Cortica, our mission is to design and deliver life-changing care - o ...
-
Education Specialist
1 week ago
Aurum Preparatory Academy Oakland, United States**Overview**: The Education Specialist ("ES") is responsible for ensuring that all student subgroups (EL, SPED, academically struggling) are reaching their goals within the least restrictive environment and in accordance with their IEPs as applicable. The ES works to create indiv ...
-
Credentialing Coordinator
2 weeks ago
Altais Oakland, United States**About Our Company** · At Altais, we're looking for bold and curious clinicians and innovators who share our passion for enabling better health care experiences and revolutionizing the healthcare system for physicians, advanced care providers, patients, and the clinical communit ...
-
Technical Specialist, Forestry
3 weeks ago
SCS Global Services Emeryville, United States**Company Overview** · **Job Overview** · The Technical Specialist is a lead forest management and chain of custody auditor who is responsible for making reliable certification decisions and has a key role in ensuring the credibility and high quality of our third-party certificat ...
-
Teacher Associate
2 weeks ago
Bentley School Oakland, United States**Reports To**:K-8 Director · **Position Type**: Full-Time, Non-Exempt · Bentley School is a K-12 co-educational, independent day school located on two campuses in Oakland (K-8) and Lafayette (9-12), California. Founded in 1920, Bentley School's legacy of excellence in teaching a ...
-
Hayward Twin Oaks Montessori School Castro Valley, United StatesOverview: · We are seeking a highly organized and collaborative individual who can support students within special education in grade spans 1st-6th or 7th-12th in an environment that nurtures the children's academic, social, physical, emotional and spiritual needs; in an environm ...
-
Medical Assistant
1 week ago
Concentra South San Francisco, United StatesOverview: · Please be advised, if you are viewing this position on Indeed, that the salary rate/range set forth herein was provided by Indeed. Concentra's market specific rate/range will be provided during the interview process. · As a Concentra Medical Support Specialist, you wi ...
-
Mammographer Radiology Physician
3 weeks ago
AMN Healthcare WALNUT CREEK, United StatesJob Description & Requirements · Mammographer Radiology Physician · StartDate: ASAP Available Shifts: Regular 8 Pay Rate: $ $ · This facility is seeking a Mammographer Radiology Physician for locum tenens support as they look to fill a current need. · Details & requirements for ...
-
Construction Inspector
2 weeks ago
Consor Engineers San Francisco, United StatesThe Opportunity: · Consor is looking for Construction Inspectors to support the growth of our construction management group in the Western United States. This position will offer you an opportunity to travel to unique destinations to inspect both state and federal projects. If yo ...
-
Art Teacher
3 weeks ago
Envision Education San Francisco Bay Area, United States**Envision Education seeks Art Teachers for the School Year, starting in August 2024.** Teachers will lead students in an academic vision of success that focuses on Envision's graduate profile rooted in ethnic studies, content-specific standards, and college/career readiness. · T ...
-
Social Studies Teacher
3 weeks ago
Envision Education San Francisco Bay Area, United States**Envision Education seeks Social Studies Teachers for the School Year, starting in August 2024.** Teachers will lead students in an academic vision of success that focuses on Envision's graduate profile rooted in ethnic studies, content-specific standards, and college/career rea ...
-
Physical Activities Teacher
3 weeks ago
Envision Education San Francisco Bay Area, United States**Envision Education seeks Physical Activities Teachers for the School Year, starting in August 2024.** · This opportunity may include an annual $3,500 MA supplement, $5,000 CALA supplement, and/or a one-time $5,000 signing bonus for hard-to-fill roles. · **Who We Are** · Our mis ...
-
Construction Manager
2 weeks ago
Consor Engineers San Francisco, United StatesThe Opportunity: · Consor is a professional consulting firm that provides innovative, creative, and state of the industry solutions meeting the expanding needs of our transportation system. We are known as industry leaders and creative problem solvers. Our team of planners, engin ...
-
Arborist Plant Health Care Specialist
3 weeks ago
Bartlett Tree Experts San Rafael, United States**Overview**: · If you enjoy working outdoors in a professional and safe environment, consider a career with Bartlett Tree Experts At Bartlett, we value a strong culture of excellence in safety, scientific research, lifelong learning, and career development. · We are seeking expe ...
Credentialing Specialist - Walnut Creek, United States - BASS MEDICAL GROUP
Description
Job Description
Job DescriptionDescription:The Credentialing Specialist is responsible for coordinating, monitoring and maintaining the credentialing and re-credentialing process for established providers and new providers joining the medical group. The Credentialing Specialist must be able to work independently with minimal oversite, think outside the box, and work in a fast paced, high volume work environment. The Credentialing Specialist must also be able to multitask and prioritize in order to execute in a timely manner, be detail oriented, have strong communication skills, and always want to learn more.
Responsibilities:
· Collect credentialing and re-credentialing materials for providers.
· Submit enrollments for providers with various payors.
· Follow up on enrollment statuses with payors.
· Maintain credentialing database & CAQH.
· Renew expirables, such as licenses & certifications.
· Submit notifications for offboarding providers and location changes.
· Monitor & maintain credentialing email.
· Manage Payor Portal emails and access.
· Additional duties assigned by the supervisor.
Requirements:Compensation Package
At BASS Medical Group, we understand that a comprehensive, high quality, and affordable health benefits program is now more essential than ever. The overall well-being of our employees is at the forefront of our focus. With this in mind, we offer our eligible employees a generous benefits program.
Health & Welfare Benefits: Medical through Anthem Blue Cross PPO, Low-Cost Dental and Vision, Medical FSA & HSA.
Retirement Savings & Income Security: Basic Life & AD&D Insurance, Long Term Disability, 401K plan with an employer contribution, Access to Financial Advisors, Identity Theft Program.
Work/Life Balance Benefits: Paid Time Off and Company Paid holidays, Life Assistance Program, Commuter & Parking Benefits, Secure Travel Services, Healthy Rewards Program, Will Preparation Program, Additional perks to include discounts for Cellular phone and Gym memberships.
Voluntary Benefits: Optional Life & AD&D Insurance, Aflac Supplemental Insurance, Pet Insurance
Compensation will be based on experience
Pay Scale/Ranges:
$25.00-$30.00/hour (and the hourly equivalent for salaried employees).*
*Employees actual pay rate will depend on a host of factors including, without limitation, job location, specialty, skillset, education, and experience. The patey scale/ranges shown are representative of the pay rates for the job title reflected above, but an employees actual pay rate will be determined on a case-by-case basis.
