We are seeking a creative Credentialing Admin (Part time) to join our stellar team at US Tech Solutions, Inc. in Boston, MA.
Growing your career as a Full-Time Credentialing Admin (Part time) is an exceptional opportunity to develop indispensable skills.
If you are strong in innovation, attention to detail and have the right work ethic for the job, then apply for the position of Credentialing Admin (Part time) at US Tech Solutions, Inc. today!
Job Description:- Credentialing Admin will provide administrative assistance and verifies licenses and credentials in the healthcare industry.
- Their duties include keeping detailed records of medical staff members, maintaining databases, and ensuring staff members possess legal licenses and credentials to work in their chosen fields.
Responsibilities:- Provider Credentialing.
- Payor & Client Credentialing responses.
- Licensing and Provider credential maintenance.
- Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications.
- Maintain internal provider grid to ensure all information is accurate and logins are available.
- Update each provider’s CAQH database file timely according to the schedule published by CMS.
- Complete revalidation requests issued by government payers.
- Complete credentialing applications to add providers to commercial payers, Medicare, and Medicaid (where applicable).
- Complete re-credentialing applications for commercial payers.
- Credential new providers and re-credential current providers.
- Maintain accurate provider profiles on CAQH, PECOS, NPPES, and CMS databases.
Experience:- Knowledge of provider credentialing processes with internal and external stakeholders.
- Medallion software platform experience, and experience completing primary source verifications.
- Excellent computer skills including Excel, Word, and Internet use.
- Detail oriented with above average organizational skills.
Skills:- 2-years Credentialing experience preferred.
- Excellent communication and collaboration skills.
Education:
Benefits of working as a Credentialing Admin (Part time) in Boston, MA:
● Unlimited Growth Potential
● Company offers career progression opportunities
● Generous Compensation