We are looking for a dedicated Credentialing Specialist to join our team on a contract basis in Torrance, California. In this role, you will play a crucial part in managing credentialing processes for healthcare providers, ensuring compliance with Medicare and commercial insurance requirements. This is a fantastic opportunity for professionals with credentialing expertise who are eager to expand their skills into medical billing, as training in this area will be provided.<br><br>Responsibilities:<br>• Handle credentialing for multiple healthcare providers, ensuring compliance with Medicare and commercial insurance standards.<br>• Prepare and submit re-credentialing applications in a timely and accurate manner.<br>• Monitor and maintain up-to-date records of provider credentials and certifications.<br>• Collaborate with healthcare providers and insurance companies to resolve credentialing issues.<br>• Ensure compliance with regulatory requirements and organizational policies during credentialing.<br>• Assist in learning and performing medical billing tasks as part of the role.<br>• Provide regular updates and reports on credentialing statuses to the relevant stakeholders.<br>• Maintain detailed documentation and records for all credentialing activities.<br>• Support the team in improving credentialing processes for efficiency and accuracy.<br>• Respond promptly to inquiries related to credentialing and billing processes.
<p>We are looking for a detail-oriented Credentialing Specialist to join our team on a contract basis in Torrance, California. In this role, you will handle the credentialing needs for a group of healthcare providers, ensuring compliance with Medicare and commercial insurance requirements. This position also offers the opportunity to expand your skill set by gaining experience in medical billing through dedicated training. This position is part-time, 3 days/week (24 hours/week).</p><p><br></p><p>Responsibilities:</p><p>• Manage and maintain credentialing documentation for healthcare providers, ensuring compliance with Medicare and commercial insurance requirements.</p><p>• Prepare and submit credentialing and re-credentialing applications in a timely and accurate manner.</p><p>• Monitor the status of applications and follow up to resolve any issues or delays.</p><p>• Collaborate with providers and insurance companies to address credentialing-related inquiries.</p><p>• Ensure all necessary documentation is collected, reviewed, and updated as required for credentialing processes.</p><p>• Support the team in maintaining accurate records and databases related to provider credentialing.</p><p>• Assist in the transition to medical billing tasks by participating in training sessions.</p><p>• Coordinate with internal and external stakeholders to streamline credentialing workflows.</p><p>• Stay informed about industry updates and regulatory changes impacting provider credentialing.</p><p>• Contribute to the overall efficiency of credentialing operations through proactive problem-solving.</p>
