Job Description
Mayflower Medical Group is looking for a Credentialing Coordinator to become a part of our Credentialing Team. We are currently maintaining the credentialing and re-credentialing applications for 20+ physicians. The perfect candidate would have previous experience in physician credentialing, with excellent analytical, organizational and time management skills.
Essential Job Duties:
- Coordinate and maintain the Credentialing management database. Update Payer Credentialing applications and forms.
- Create and Maintain Providers CAQH Profiles
- Assist providers to become contracted with different Payers, including Medicare, Medi-cal, PPO's and HMO's.
- Maintain Payer Credentialing forms. Undertake periodic audits of all forms for accuracy and changes, as well as Payer process flow.
- Help to develop and design innovative tools, features, and work flows to improve Credentialing
- Coordinate with the Payer to ensure that all Credentialing requirements are met.
- Submit Credentialing forms and applications to Payers as needed. Follow-up on submitted applications with Payers or Practice/Client.
- Establish records and reports of all data and documents on behalf of Practice/Client
- Coordinate and monitor management of Credentialing data and documents.
Knowledge/Skills/Abilities:
- Excellent analytical, organizational and time management skills
- Ability to exercise a high level of tact and discretion in both internal and external interactions
- Ability to create and maintain good working relationships with a variety of internal and external constituents.
- MUST HAVE credentialing knowledge and familiarity with industry recognized standards
- Familiarity with the Microsoft Office programs
- MUST HAVE excellent written, verbal and interpersonal communication skills.
- MUST BE confident, creative, self-motivated and enthusiastic
Education/Experience:
- High school diploma or equivalent.
- Previous credentialing experience with a minimum of one-year experience
Job Type: Full-time
Benefits:
- Dental insurance
- Flexible schedule
- Health insurance
- Paid time off
- Vision insurance
Schedule:
Experience:
- credentialing: 2 years (Preferred)
Job Type: Full-time
Job Type: Full-time
Benefits:
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Education:
- High school or equivalent (Preferred)
Experience:
- Microsoft Office: 1 year (Preferred)
- Microsoft Word: 1 year (Preferred)
Work Location: In person
