Credentialing Specialist

GLIA HEALTH MANAGEMENT LLC

Murrieta, CA

$24 to $36 Hourly
Medical , Dental , Paid Time Off , Retirement
Full-Time

Job Description

Benefits:

401(k) matching
Dental insurance
Health insurance
Opportunity for advancement
Paid time off

The Neuron Clinic is a busy outpatient neurology practice with locations in Chula Vista, Temecula, and San Marcos, CA. We are passionate about delivering high-quality patient care that is science based. We are the fastest growing neurology group in Southern California with growing opportunities for career and leadership development.

We are seeking a healthcare professional that is passionate about quality care and making a difference in our patients lives.

Why Join the Team?

Competitive Compensation
Generous Health Insurance Coverage: Medical & Dental
Retirement Plan - Dollar for Dollar match
Paid Vacation Accruals
Paid Holidays
Work alongside extremely talented highly specialized doctors
Excellent Work-life Balance

Summary
Credentialing Specialists obtains, verifies, and analyzes all information on medical staff applicants for membership and privileges, and for reappointment. They ensure that applications new and existing are completed and reviewed to meet compliance regulations. Credentialing Specialist ensures provider credentialing with health plans. Credentialing Specialists often work independently. This requires the employee to be able to manage their workload effectively to meet set deadlines.

Essential Duties and Responsibilities

Maintain compliance with all regulatory and accrediting institutions
Assess volume of applications to strategize production for timely outcomes
Facilitate communication with internal and external parties to properly update any needs
Participate in the development of internal credentialing processes
Keep accurate and compliant records in licensing, credentials, and insurance contracts

Preferred Education and Experience

Demonstrated knowledge of credentialing principles, credentialing requirements/regulations related to an outpatient care facility
1 year of experience in Healthcare, credentialing area preferred
Cert Provider Credential Spec (CPCS) or Cert Pro Medical Services Management (CPMSM) certificationMedical assisting education or other related education either in progress or completed, highly preferred

Special Conditions of Employment

Furnish proof of COVID-19 vaccination

Knowledge Skills and Abilities

Self-motivated and desire to learn and grow in healthcare
Strong attention to detail
Excellent analytical and critical thinking skills
Excellent verbal and written communication skills and the ability to communicate effectively with patients, providers and payors
The ability to prioritize and multitask efficiently and effectively
Strong commitment to actively supporting an ethical working environment
Strong knowledge of computer-based systems such as Excel, Word, and the Internet with the ability to quickly learn new systems.
Ability to compose, proofread and edit documents for accuracy
Bilingual English/Spanish preferred

Schedule