<p>We are looking for a detail-oriented Credentialing Specialist to join our team in Manhattan Beach, California. The Credentialing Specialist will play a pivotal part in ensuring providers are properly credentialed with Medicare and commercial insurance plans. This position offers an excellent opportunity to expand your expertise and gain hands-on training in medical billing.</p><p><br></p><p>Responsibilities:</p><p>• Credentialing processes for 12-13 healthcare providers, ensuring compliance with Medicare and commercial insurance requirements.</p><p>• Prepare and submit detailed applications for provider credentialing and re-credentialing.</p><p>• Maintain accurate and up-to-date records of provider credentials and certifications.</p><p>• Collaborate with insurance carriers to resolve credentialing-related issues efficiently.</p><p>• Monitor and track credentialing timelines to ensure timely renewals and updates.</p><p>• Assist in identifying and implementing process improvements for credentialing workflows.</p><p>• Provide support and training in medical billing processes, as required.</p><p>• Act as a liaison between providers and insurance companies to address credentialing inquiries.</p><p>• Ensure adherence to regulatory standards and organizational policies.</p><p>• Generate reports and documentation related to credentialing activities for internal review.</p>
