Credentialing Assistant

Daily tasks and responsibilities include, but not limited to: * Provide support and assistance for new practice setup as needed. * Assist with the completing and submitting provider enrollment applications. * Track progress of outstanding applications and communicate with provider relations representatives for follow-up ensuring enrollment completion. * Maintain accurate and current information in the provider records in credentialing software database and in provider electronic folders. * Maintain credential files in an orderly and current manner. * Provide research and administrative support for special projects. * Ensure HIPAA guidelines are respected by safeguarding protected health information in the capacity of the position and responsibilities. * Create new credentials electronic files, save provider’s credentials to that file according to Global Share Filing Structure Policy, create new Practice and Provider Data Sheets. * Provider Credentials: Maintain current credentials i.e. medical licensure, DEA, COI’s, etc. and set Verity CredentialStream reminders for notification of future expiration dates; maintain Provider Data Sheets with current credentialing information; maintain the credentials spreadsheet for the emergency and urgent care practices. * CAQH Re-attestation: Maintain CAQH re-attestation spreadsheet and re-attest as required updating any expired credentials. * Incoming E-mail, Faxes: Respond to requests for renewed credentials, W-9s, etc. * Maintain Electronic Files: Update provider files with current information, documentation. * Credentialing Software: Document all daily activities in Verity CredentalStream and Teamwork. * Change of Information: Submit to health plans change of information letters and W-9s regarding practice moves, adding locations, changing remit addresses. * Follow-up: Make calls or send emails to health plans and/or medical facilities to check status of applications, change of information letters, or contracts. Important Note: This Job Description is subject to any reasonable adjustment in accordance with the changing and developing needs of the position. ### Qualifications and Requirements * Preferably College Graduate or at least 2 years in College * Degrees and Courses related to Medical Field is a plus * Strong written and verbal communication skills * Ability to work effectively with minimal supervision * Ability to work with confidential information * Detail oriented * Proficient in the use of email * Highly motivated self-starter * Organized, able to set priorities and meet deadlines * Dependable and reliable * Team player being supportive of Department and Company goals and policies * Must be flexible with schedule * Previous call center experience related to Medical Accounts and Programs is a plus Originally posted on [Himalayas](https://himalayas.app)