Job description

Credentialing Support/ Credentialing Specialist

• Covid 19 vaccination required
• Remote Role; Must Reside in California
• M-F; 8am - 4:45pm
• $17.40/hour

Detailed Description:

* Screens provider credentialing and re-credentialing packets for missing information; requests missing information from provider; resolves discrepancies between information supplied and findings of other sources (State Dental or etc.);
* Creates and updates provider information in the credentialing system to ensure that credentials are completed within a timely manner and at a high level of accuracy.
* Receives provider inquiries via phone and correspondence. Researches and verifies detailed information on provider participation status. Perform verification of all applicable credentials.
* Contact providers for missing and expired information.
* Processing mail; incoming and outgoing.
* Performs miscellaneous duties as assigned.

Job Requirements:

* A high school diploma or GED is preferred, but candidates with proven experience will not be excluded from consideration.
* A minimum of 2 years related experience.
* Knowledge of products, policies and terms of provider participation in various networks is expected at conclusion of training and any applicable probationary period.
* Ability to maintain confidentiality of providers information.
* Demonstrated understanding of basic corporate structures and how to accurately translate information provided on contracts, credentialing attestations and other sources to maintain provider records.
* Math skills to compile and validate statistical computations, reconcile discrepancies, and insure the validity and accuracy of results.
* Knowledge and application of English grammar including composition, editing and proofreading skills.
* Basic organizational/time management and project management skills and multi-tasking abilities.
* Detail oriented with analytical and problem solving skills. Knowledge of health care industry issues preferred.
* Ability to accurately enter relevant information into the credentialing system and other ancillary data repositories as needed.
* Must be able to understand fairly complex written and oral instructions.
* Ability to clearly present written information and findings. Ability to communicate concepts.
* Ability to interact well with co-workers and outside contacts.
* PC literacy; MSOffice skills (competency in Word, advanced skill in Excel, Access and other database applications).

Wollborg Michelson Recruiting does require all applicants to be able to provide proof that they are fully vaccinated from COVID prior to their start date, unless otherwise prohibited by law.
Wollborg Michelson Recruiting is an Equal Opportunity Employer and prohibits discrimination of any kind. We ensure job offers are made based of one’s employment experience, skills, and qualifications, regardless of race, gender, ethnic origin, or any other classification protected by law. All applicants must furnish proper identification to prove their legal right to work in the US upon a job offer. We participate in E-Verify to confirm one’s right to work in the US. Wollborg Michelson Recruiting does not provide sponsorship for an employment-based visa status.

Job Types: Full-time, Contract

Pay: $17.40 per hour

Benefits:

• Health insurance

Schedule:

• 8 hour shift
• Monday to Friday

Application Question(s):

• Are you able to provide proof of full Covid 19 vaccination?
• Do you have a two monitor set-up in your home office?

Experience:

• Microsoft Office: 2 years (Required)

Work Location: Hybrid remote in Rancho Cordova, CA 95670

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