Credentialing Assistant: CAQH & Provider Profiles

The CORE Institute; Phoenix (AZ); On-site; USD 40,000 - 50,000; Full time

Job summary

The CORE Institute is seeking a Credentialing Assistant situated in Phoenix, Arizona. This role involves reviewing and maintaining payer Credentialing status, updating CAQH profiles, and managing various physician-related documentation.

Ideal candidates will have a high school diploma and several years of experience within the healthcare field. Knowledge of insurance billing and credentialing processes will be beneficial. The position emphasizes effective communication and relationship-building skills.

Qualifications

• Minimum of three to four years of experience in healthcare.
• Knowledge of credentialing timelines and regulations is a plus.

Responsibilities

• Review and re-attest all provider's CAQH profiles.
• Maintain billing insurance grid and provider insurance grid.
• Assist Credentialing Supervisor and Specialist.

Skills

Effective communication with physicians

Knowledge of insurance billing

Understanding of credentialing process

Relationship building

Education

High school diploma/GED or equivalent

Job description

The CORE Institute is seeking a Credentialing Assistant situated in Phoenix, Arizona. This role involves reviewing and maintaining payer Credentialing status, updating CAQH profiles, and managing various physician-related documentation.

Ideal candidates will have a high school diploma and several years of experience within the healthcare field. Knowledge of insurance billing and credentialing processes will be beneficial. The position emphasizes effective communication and relationship-building skills.