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Medical Credentialing- Long Beach - Long Beach, CA

Quick Facts
Company Name:Argus Medical Management, LLC
Location:Long Beach, CA
Employment Type:Full Time
Pay:DOE
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Description

Job Description: Argus Medical Management located in Long Beach, Ca is looking for a Credentialing Specialist to become a part of our Credentialing Team. We are a fast paced office, currently maintaining the credentialing and re-credentialing applications for 200+ physicians. The perfect candidate would have previous experience in physician credentialing, with excellent analytical, organizational and time management skills.

Essential Job Duties:

  • Coordinate and maintain the Credentialing management database. Update Payer Credentialing applications and forms.
  • Create and Maintain Providers CAQH Profiles
  • Assist providers to become contracted with different Payers, including Medicare, Medi-cal, PPO's and HMO's.
  • Maintain Payer Credentialing forms. Undertake periodic audits of all forms for accuracy and changes, as well as Payer process flow.
  • Help to develop and design innovative tools, features, and work flows to improve Credentialing
  • Coordinate with the Payer to ensure that all Credentialing requirements are met.
  • Submit Credentialing forms and applications to Payers as needed. Follow-up on submitted applications with Payers or Practice/Client.
  • Establish records and reports of all data and documents on behalf of Practice/Client
  • Coordinate and monitor management of Credentialing data and documents.

Knowledge/Skills/Abilities:

  • Excellent analytical, organizational and time management skills
  • Ability to exercise a high level of tact and discretion in both internal and external interactions
  • Ability to create and maintain good working relationships with a variety of internal and external constituents.
  • MUST HAVE basic credentialing knowledge and familiarity with industry recognized standards
  • Familiarity with the Microsoft Office programs
  • MUST HAVE excellent written, verbal and interpersonal communication skills.
  • MUST BE confident, creative, self-motivated and enthusiastic

Education/Experience:

  • High school diploma or equivalent.
  • Previous credentialing experience with a minimum of one year experience

Benefits

Benefits package includes Health Benefits, 401k/employer match, Aflac, and PTO