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Credentialing Specialist

Company: Argus Medical Management Llc
Location: Long Beach
Posted on: June 6, 2024

Job Description:

*About Us:*We are one of the few successful physician practice management companies in Southern California! We own and manage over 200+ clinics in Long Beach and surrounding cities. At Argus, we're not just a healthcare management solutions provider; we've been passionate about transforming the industry through innovation and excellence since opening in 1995. Our commitment to delivering top-tier services stems from our core values of integrity, collaboration, and client-focused solutions. Join us in revolutionizing healthcare administration, where every role contributes to a brighter, healthier future for all.*We're seeking a Credentialing Specialist to join our team. **Duties:*- Process and manage all aspects of credentialing for healthcare providers within a managed care organization.- Collect, review, and verify provider credentials, including licenses, certifications, education, and work history.- Conduct primary source verification of credentials through various databases and organizations.- Maintain accurate and up-to-date provider files and databases, such as CAQH.- Coordinate with internal departments and external entities to obtain necessary documentation and information.- Assist in the development and implementation of credentialing policies and procedures.- Respond to inquiries from providers regarding their credentialing status.*Requirements:*- Experience in credentialing within a managed care setting.- Ideally 2 years experience of credentialing standards, regulations, and best practices.- Strong attention to detail and excellent organizational skills.- Experience provider enrollment with PPO, HMO, and Government Payers.- Experience in provider enrollment follow-ups.- Ability to prioritize tasks and meet deadlines in a fast-paced environment.- Excellent written and verbal communication skills.- Proficient in Microsoft Office Suite.Job Type: Full-timePay: $24.00 - $28.00 per hourBenefits:* 401(k)* Dental insurance* Health insurance* Life insurance* Paid time off* Vision insuranceSchedule:* 8 hour shift* Monday to Friday* No weekendsAbility to Relocate:* Long Beach, CA: Relocate before starting work (Required)Work Location: In personby Jobble

Keywords: Argus Medical Management Llc, Long Beach , Credentialing Specialist, Other , Long Beach, California

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