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This person will also help in the verfication of information, preparation and maintenance of credentialing files required by regulatory requirements, and the entry of information into the credentialing database and Amisys. This role will perform tasks such as:
Review credentialing/recredentialing applications for required information, request missing information from providers, as necessary, conduct primary source verifications, when applicable, review data entry in credentialing database, document required information using the checklist, assure the file is in correct order and refer completed application to appropriate committee, working with Medical Directors as needed.
Assist in preparation of credentialing files report, working with Medical Directors as needed, and presenting credentialing files and peer review to QIACC for approval.
Set up of practitioners to billing group practice numbers in Amisys and notifying clinics of billing number.
A high school graduate or equivalent is required. Certified Provider Credentialing Specialist (CPCS) or Certified Medical Staff Coordinator Certification is strongly desired.
This assignment requires that applicants have a minimum of two years relevant experience in health care related environment, preferably in a clinic business office, insurance or HMO environment. Candidates should have some experience working with credentialing. PC experience including spreadsheet, and word processing required, preferably Microsoft Access, Excel and Word.
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We thank all interested candidates; however only those selected for interviews will be contacted. Two years relevant experience in health care related environment, preferably in a clinic business office, insurance or HMO environment. Candidates should have some experience working with credentialing. PC exp-spreadsheet, and Word, Access, & Excel