Immediate need for a talented Credentialing Administrator. This is a 05+ months Contract opportunity with long-term potential and is located in Boston, MA (Hybrid). Please review the job description below and contact me ASAP if you are interested.
Job ID: 24-11752
Pay Range: $32/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
Key Responsibilities:
This credentialing project supports Verily clinical services, and allows Verily to provide compliant and well documented credentialing files to its partner clients.
The person hired in this role ( Credentialing Admin) provides 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.
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.
Key Requirements and Technology Experience:
Provider Credentialing.
Payor & Client Credentialing responses.
Licensing and Provider credential maintenance.
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.
Non-Essential Skills/Qualifications:
2-years Credentialing experience preferred.
Excellent communication and collaboration skills.
Our client is a leading IT Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.