Credentialing Specialist

hace 2 días


Tijuana, México USA Clinics Group A tiempo completo

The **Credentialing Specialist **is responsible for maintaining active status for all providers by successfully completing initial and subsequent credentialing packages as required by Medicare and Medicaid, commercial payers, hospitals, regulatory agencies.RESPONSIBILITIES- 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 re-validation requests issued by government and commercial payers- Credential new providers and re-credential current providers with hospitals at which they hold staff privileges- Work closely with the Billing and Authorizations Departments to identify and resolve any denials or authorization issues related to provider credentialing- Maintain accurate provider profiles on ECHO, CAQH, PECOS, NPPES, and CMS databases- Additional duties as assigned**REQUIREMENTS**:- Knowledge of provider credentialing and its direct impact on the practice’s revenue cycle- Excellent computer skills including Excel, Word, and Internet use- Detail oriented with above average organizational skills- Plans and prioritizes to meet deadlines- Excellent customer service skills; communicates clearly and effectively**BENEFITS**:- IMSS 100%- Vacations (after the first year)- Christmas bonus- Paid Training- Weekends off- Mexican Holidays offPay: From $16,000.00 per monthApplication Question(s):- Are you fluent in english?- Do you have detail oriented with above average organizational skills?**Experience**:- customer service: 1 year (preferred)**Language**:- english (required)


  • Credentialing Specialist

    hace 2 semanas


    Tijuana, México USA Clinics Group A tiempo completo

    USA Clinics Group seeks a detail-oriented Credentialing Specialist responsible for maintaining active status for all providers by successfully completing initial and subsequent credentialing packages as required by Medicare and Medicaid.**Responsibilities**:- Ensure physician's information accuracy and availability.- Update physician's details in relevant...

  • Credentialing Specialist

    hace 3 semanas


    Tijuana, México USA Clinics Group A tiempo completo

    **Job description**The **Credentialing Specialist** is responsible for maintaining active status for all providers by successfully completing initial and subsequent credentialing packages as required by Medicare and Medicaid, commercial payers, hospitals, regulatory agencies.RESPONSIBILITIES- Maintain internal provider grid to ensure all information is...

  • Credentialing Specialist

    hace 2 semanas


    Tijuana, México Usa Clinics A tiempo completo

    **Job description**:The **Credentialing Specialist **is responsible for maintaining active status for all providers by successfully completing initial and subsequent credentialing packages as required by Medicare and Medicaid, commercial payers, hospitals, regulatory agencies.RESPONSIBILITIES- Maintain internal provider grid to ensure all information is...

  • Credentialing Specialist

    hace 2 semanas


    Tijuana, México USA Clinics Group A tiempo completo

    The Credentialing Specialist is responsible for maintaining active status for all providers by successfully completing initial and subsequent credentialing packages as required by Medicare and Medicaid, commercial payers, hospitals, regulatory agencies.RESPONSIBILITIES- Maintain internal provider grid to ensure all information is accurate and logins are...

  • Credentialing Specialist

    hace 2 semanas


    Tijuana, México USA Clinics A tiempo completo

    **Job description**:The Credentialing Specialist is responsible for maintaining active status for all providers by successfully completing initial and subsequent credentialing packages as required by Medicare and Medicaid, commercial payers, hospitals, regulatory agencies.RESPONSIBILITIES- Maintain internal provider grid to ensure all information is accurate...

  • Credentialing Specialist

    hace 3 semanas


    Tijuana, México USA Clinics A tiempo completo

    **Job description**:The **Credentialing Specialist **is responsible for maintaining active status for all providers by successfully completing initial and subsequent credentialing packages as required by Medicare and Medicaid, commercial payers, hospitals, regulatory agencies.RESPONSIBILITIES- Maintain internal provider grid to ensure all information is...


  • Tijuana, México USA Clinics Group A tiempo completo

    The credentialing Specialist is responsible for maintaining active status for all providers by successfully completing initial and subsequent credentialing packages as required by Medicare and Medicaid, commercial prayers, hospitals, regulatory agencies.**Responsibilities**:- Maintain internal provider grid to ensure all information is accurate and logins...

  • Credentialing Specialist

    hace 2 semanas


    Tijuana, México Usa Clinics Group A tiempo completo

    The credentialing specialist is responsible for maintaining active status for all providers by successfully completing initial and subsequent credentialing packages as required by Medicare and Medicaid, commercial payers, hospitals, regulatory agencies.**Responsibilities**:- Maintain internal provider grid to ensure all information is accurate and logins are...

  • Credentialing Specialist

    hace 2 semanas


    Tijuana, México USA Clinics Group A tiempo completo

    **Description**The Credentialing Specialist is responsible for maintaining active status for all providers by successfully completing initial and subsequent credentialing packages as required by Medicare and Medicaid, commercial payers, hospitals, regulatory agencies.RESPONSIBILITIES- Maintain internal provider grid to ensure all information is accurate and...

  • Credentialing Specialist

    hace 2 semanas


    Tijuana, México Usa Clinics Group A tiempo completo

    **Description**The Credentialing Specialist is responsible for maintaining active status for all providers by successfully completing initial and subsequent credentialing packages as required by Medicare and Medicaid, commercial payers, hospitals, regulatory agencies.RESPONSIBILITIES- Maintain internal provider grid to ensure all information is accurate and...