Medical Credentialing Coordinator (Hybrid)

Boston IVF; Northern (KY); Híbrido; USD 57 308 000 - 63 039 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Medical, Dental, Vision Insurance

Paid Time Off & 8+ Paid Holidays

Company Paid Life Insurance, LTD & AD&

Flexible Spending Accounts

Employee Assistance Program

401K Plan

STD, Life & AD&D Buy-up

Resumo da oferta

IVIRMA Global is seeking a Credentialing Administrative Assistant in a hybrid role based in Basking Ridge, NJ. The position handles provider credentialing tasks, CAQH setup, and interactions with health plans, ensuring accurate data and timely recredentialing.

The role requires attention to detail, organizational skills, and experience with medical credentialing. The company offers full-time benefits and a comprehensive package for eligible employees.

Qualificações

• High school diploma, GED, or suitable equivalent.
• 1 year of credentialing experience with medical staff (preferred).
• Extremely detail oriented and able to prioritize tasks accordingly.
• Knowledge of medical credentialing and privileging procedures and standards (preferred).
• Excellent verbal and written communication skills.

Responsabilidades

• Create CAQH profiles for all new providers in our US clinics.
• Identify discrepancies or missing information and conduct follow-ups.
• Update and re-attest each provider profile quarterly and/or as needed.
• Complete and submit initial applications to commercial insurances for participation.
• Notify health plans of provider information/demographical updates and changes as well as practitioner status changes
• Update demographic information and provide supporting documents to outside stakeholders, such as commercial managed care plans.
• Ensure re-credentialing is completed timely to prevent any lapse in enrollment.
• Respond to health plan provider inquiries.
• Work closely with the billing staff to identify and resolve any denials or authorization issues related to provider credentialing.
• Maintain individual provider files to include up to date information needed to complete commercial payer credentialing and recredentialing.
• Maintain knowledge of current health plan and agency requirements for credentialing providers.

Conhecimentos

Detail oriented

Verbal communication

Written communication

Formação académica

High school diploma / GED

Descrição da oferta de emprego

IVIRMA Global is seeking a Credentialing Administrative Assistant in a hybrid role based in Basking Ridge, NJ. The position handles provider credentialing tasks, CAQH setup, and interactions with health plans, ensuring accurate data and timely recredentialing.

The role requires attention to detail, organizational skills, and experience with medical credentialing. The company offers full-time benefits and a comprehensive package for eligible employees.