Credentialing Specialist I at QTC Management, Inc. in San Dimas, California

Job Description:

Salary Range: $37,000 - $38,500 + 6% bonus

QTC Medical is a government contractor and subsidiary of Leidos, a FORTUNE® 500 science and technology leader. We are the largest provider of disability (pension) and occupational health examination services. A few of our clients include U.S. Department of Veteran Affairs (VA), Department of Justice, U.S. Department of Labor and several others. With over 90 clinics nationwide, we’ve been serving communities for over 40 years. We offer a competitive compensation package including quarterly bonuses and annual merit review increases, comprehensive health benefits, substantial opportunity for growth, tuition reimbursement and career development.

Our Mission -> To provide high-quality, timely, and customer-focused medical examination service solutions.

Our Values ->   ~Integrity ~Innovation ~Agility ~Collaboration ~Inclusion ~Commitment

Why Choose Us???
- Large corporation with lots of growth opportunities and benefits, YET tight-knit, family-like culture within each Department.
- Amazing leadership, QTC employs some of THE most humble, down to earth, tenured leaders!
- We believe in promoting from within. This is done through comprehensive training, growth programs, and personalized     development plans.
- Serving veterans is very rewarding, our goal is to expedite their claim in order to assist them with obtaining their benefits.

** Come help us serve Americas Heroes! **

Job Summary

Responsible for reviewing provider contract information, credentialing physicians, data entry, researching and verifying license and insurance data, and other administrative credentialing tasks assigned.

 Essential Duties and Responsibilities

• Review provider contracts for accuracy and completeness


• Credential physicians who apply for QTC provider network


• Responsible for the accurate and timely input of approved provider information into TRACKING TOOLS


• Research provider licenses and insurance to ensure that information provided is current and accurate; without notice of adverse actions


• Provide appropriate and timely response to inquiries regarding provider information


• Perform activities to assist designated traveling providers in obtaining additional state medial licenses


• Develop and coordinate packages for credentialing providers on military installations


• Provide User Acceptance Testing (UAT) support of IT systems


• Ensure IT systems align with proposed processes


• Other projects and duties as assigned

Education and/or Experience: 

• High School diploma, or equivalent (GED) is required.


• 0-1 Healthcare relevant experience 


• Experience in a medical and/or insurance-related service industry a plus.


• Must reside within commutable distance to San Dimas, CA.


• Must be able to successfully pass National Agency Check with Inquiries (NACI) background
  investigation.

QTC Management Inc. is a VEVRAA Federal contractor and an Equal Opportunity Employer. The company has an ongoing commitment to affirmative action and the creation of a workplace free of discrimination, harassment and retaliation. The company recruits, hires, trains, and promotes individuals in all job titles without regard to race, color, creed, religion, ancestry, national origin, age, sex, pregnancy, sexual orientation, gender identity, genetic information, people with disabilities protected under law, and protected veteran status.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)

Administrative/Technical

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