Premier Orthopaedics
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Credentialing Assistant
role at
Premier Orthopaedics . Overview
The
Credentialing Assistant
is responsible for reviewing the payer credentialing status for all new providers, maintaining all rosters, updating CAQH provider profiles, and more. Healthcare Outcomes Performance Company
is a vertically integrated musculoskeletal outcomes management company. HOPCo manages physician practices, hospital service lines, population health and value-based care programs, and musculoskeletal delivery networks. Responsibilities
Reviews and Re-Attest all provider's CAQH profiles. Maintain billing insurance grid, provider insurance grid, and each physician’s spreadsheet up to date on current insurance changes. Has knowledge of Employee Handbook content along with established policies and procedures. Relies on instructions and pre-established guidelines to perform the functions of the job. Assists the Credentialing Supervisor and Credentialing Specialist in their job responsibilities/duties when necessary. Qualifications
Must be able to communicate effectively with physicians, providers, licensing agencies, insurance payors, and the public and be capable of establishing good working relationships with both internal and external customers. Some knowledge of insurance billing and hospital credentialing is a plus. Knowledge of the credentialing process is a plus but not required. Knowledge of credentialing timelines and regulations is a plus but not required. Minimum of three to four years of experience in healthcare. High school diploma/GED or equivalent working knowledge preferred. Essential Functions
Reviews and Re-Attest all provider's CAQH profiles. Maintain billing insurance grid, provider insurance grid, and each physician’s spreadsheet up to date on current insurance changes. Has knowledge of Employee Handbook content along with established policies and procedures. Relies on instructions and pre-established guidelines to perform the functions of the job. Assists the Credentialing Supervisor and Credentialing Specialist in their job responsibilities/duties when necessary. Seniority level
Mid-Senior level Employment type
Full-time Job function
Human Resources Industries
Medical Practices
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Credentialing Assistant
role at
Premier Orthopaedics . Overview
The
Credentialing Assistant
is responsible for reviewing the payer credentialing status for all new providers, maintaining all rosters, updating CAQH provider profiles, and more. Healthcare Outcomes Performance Company
is a vertically integrated musculoskeletal outcomes management company. HOPCo manages physician practices, hospital service lines, population health and value-based care programs, and musculoskeletal delivery networks. Responsibilities
Reviews and Re-Attest all provider's CAQH profiles. Maintain billing insurance grid, provider insurance grid, and each physician’s spreadsheet up to date on current insurance changes. Has knowledge of Employee Handbook content along with established policies and procedures. Relies on instructions and pre-established guidelines to perform the functions of the job. Assists the Credentialing Supervisor and Credentialing Specialist in their job responsibilities/duties when necessary. Qualifications
Must be able to communicate effectively with physicians, providers, licensing agencies, insurance payors, and the public and be capable of establishing good working relationships with both internal and external customers. Some knowledge of insurance billing and hospital credentialing is a plus. Knowledge of the credentialing process is a plus but not required. Knowledge of credentialing timelines and regulations is a plus but not required. Minimum of three to four years of experience in healthcare. High school diploma/GED or equivalent working knowledge preferred. Essential Functions
Reviews and Re-Attest all provider's CAQH profiles. Maintain billing insurance grid, provider insurance grid, and each physician’s spreadsheet up to date on current insurance changes. Has knowledge of Employee Handbook content along with established policies and procedures. Relies on instructions and pre-established guidelines to perform the functions of the job. Assists the Credentialing Supervisor and Credentialing Specialist in their job responsibilities/duties when necessary. Seniority level
Mid-Senior level Employment type
Full-time Job function
Human Resources Industries
Medical Practices
#J-18808-Ljbffr