We are currently seeking a Credentialing Assistant to join our team of highly qualified professionals that share our mission of Empowering Children to Conquer their World! The Credentialing Assistant is responsible for assisting with credentialing functions that support the overall credentialing efforts for providers.
What we offer:
- Competitive Pay
- 15 Days of Paid Time Off
- Medical, Dental, & Vision Insurance
- Company Discounts & Incentives
- Professional Development and Leadership Growth Opportunities
- State of the Art Facilities & Technology
What you will do:
- Implement and utilize the HR database, including ways to improve efficiency by using the database.
- Compile and maintain current and accurate data for all providers in HRIS and deTASO.
- Maintain and update Council for Affordable Quality Healthcare (CAQH) online credentialing application for all providers quarterly.
- Notify applicable insurance companies of provider terminations.
- Track license and certification expirations for all providers to ensure timely renewals and updates health plans accordingly.
- Provide demographic updates to various systems used by credentialing (BCBSTX and Cigna Evernorth).
- Evaluate scanned mail and distributes appropriately.
- Assist as needed with RehabNet recredentialing.
- Assist as needed with PLI renewals.
- Ensure other systems are updated with current provider information (such as Availity).
- Maintain confidentiality of provider information.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
What you have:
- Ability to communicate effectively and professionally with a wide variety of people.
- Strong organizational skills with attention to detail and accuracy.
- Basic computer skills which include a working knowledge of databases, word processing, spreadsheets, and internet software.
- Ability to handle multiple tasks in a very busy environment.
- Ability to read and interpret documents such as safety rules, policies, and other company documents.
- Ability to write routine reports and correspondence.
- Ability to effectively present information in one-on-one and small group situations.
- Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
- Reports for work dressed appropriately and complies with company policies regarding the dress code.
- Ability to maintain regular and punctual attendance.
- Ability to complete tasks in a timely manner.
Required Qualifications:
- High School Diploma or equivalent.
Physical Demands:
While performing the duties of this job, the employee is frequently required to accurately communicate information and ideas so others will understand through sight and hearing. The employee is regularly required to move including walking, running, jumping, and sitting. The employee is regularly required to use hands and fingers to handle, lift, reach, and feel. The employee is frequently required to stand and stoop, twist, bend, kneel, crouch, or crawl. The employee must frequently lift and/or move up to 50 pounds. Specific vision abilities required by this job include near and distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
