Credentialing Specialist at TEKsystems Fairfield, CA

JIT Global Freight Solution P Ltd; Fairfield (CA); On-site; USD 29,549 - 42,085; Full time

Benefits offered by this job

Medical, dental & vision

401(k) Retirement Plan

Pre-tax and Roth post-tax benefits

Life Insurance & AD&D (employee and/or

Disability coverage

Health Spending Account

Transportation benefits

Employee Assistance Program

Paid time off

Job summary

JIT Global Freight Solution P Ltd is seeking a Credentialing Specialist for an onsite, contract-to-hire role in Fairfield, CA. The position involves credentialing and re-credentialing, data entry, reporting, and provider education on submission requirements.

Responsibilities include tracking forms, researching discrepancies, monitoring licensing boards, and preparing concise summaries and reports using Word and Excel.

Qualifications

• 1-2 years credentialing or 2-3 years with insurance verification
• Medical Terminology
• Strong written and oral communication
• Advanced computer skills in MS Office
• Strong organizational and multitasking abilities
• Excellent interpersonal and customer service skills
• Detail-oriented with ability to recognize vital information
• Maintain high quality and production standards

Responsibilities

• Performs credentialing and re-credentialing per policies and procedures
• Sends forms and related documentation and tracks timely return of information
• Gathers information and researches discrepancies; checks for consistency and accuracy
• Monitors licensing boards and reporting sites
• Reviews documents and writes concise, accurate summaries
• Maintains files to demonstrate policy compliance and documented decisions
• Educates providers on form submission requirements
• Prepares reports and templates using Word and Excel
• Enter data into multiple databases
• Responds to telephone inquiries

Skills

Credentialing experience

Communication skills

Detail-oriented

Organizational skills

Diplomacy and tact

Tools

Microsoft Office

Job description

Position

Credentialing Specialist – Fairfield, CA.

Employment Type

Contract to Hire, fully onsite position.

Responsibilities

• Performs credentialing and re-credentialing activities according to policies and procedures.
• Sends forms and related documentation and tracks and follows-up to ensure timely return of information.
• Gathers information and researches discrepancies. Scrutinizes documents for consistency and accuracy.
• Monitors healthcare practitioners licensing boards and federal and state reporting sites.
• Reviews comprehensive written documents and writes concise, accurate summaries.
• Prepares and maintains files ensuring all documentation meets standards to demonstrate policies and procedures are followed and decisions are documented.
• Educates providers on the completion of forms and required submissions.
• Prepares a variety of reports and templates using Word and Excel.
• Enter data into several databases.
• Responds to telephone inquiries.

Qualifications

• 1-2 years of credentialing experience or 2-3 years of experience with verifying insurances or working with benefits.
• Medical Terminology.
• Strong written and oral communication skills.
• Advanced computer skills, including proficiency in multiple software applications such as Microsoft Office.
• Strong organizational and multi-tasking abilities.
• Excellent interpersonal and customer service skills.
• Detail-oriented with the ability to recognize vital information.
• Consistently maintain high quality and production standards.
• Ability to use good judgment in making decisions and handle sensitive issues with diplomacy and tact.

Pay & Benefits

Pay range: $26.00 - $26.00/hr.

Benefits (subject to eligibility):

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan
• Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

Equal Opportunity Employer

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.