Credentialing Admin (Part time) at US Tech Solutions

Duration: 6 Months

Job Type: Part time role, minimum 15 hours per week. Work schedule: Preferred schedule would be during working hours. Can be flexible days worked.

Job Description:

· Credentialing Admin will provide administrative assistance and verifies licenses and credentials in the healthcare industry.

· Their duties include keeping detailed records of medical staff members, maintaining databases, and ensuring staff members possess legal licenses and credentials to work in their chosen fields.

Responsibilities:

· Provider Credentialing.

· Payor & Client Credentialing responses.

· Licensing and Provider credential maintenance.

· Maintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applications.

· Maintain internal provider grid to ensure all information is accurate and logins are available.

· Update each provider’s CAQH database file timely according to the schedule published by CMS.

· Complete revalidation requests issued by government payers.

· Complete credentialing applications to add providers to commercial payers, Medicare, and Medicaid (where applicable).

· Complete re-credentialing applications for commercial payers.

· Credential new providers and re-credential current providers.

· Maintain accurate provider profiles on CAQH, PECOS, NPPES, and CMS databases.

Experience:

· Knowledge of provider credentialing processes with internal and external stakeholders.

· Medallion software platform experience, and experience completing primary source verifications.

· Excellent computer skills including Excel, Word, and Internet use.

· Detail oriented with above average organizational skills.

Skills:

· 2-years Credentialing experience preferred.

· Excellent communication and collaboration skills.

Education:

· College Degree

About US Tech Solutions:

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com