Credentialing Assistant (Cebu/CDO)

Daily tasks and responsibilities include, but not limited to: - Provide support and assistance for new practice setup as needed. - Assist with the completing and submitting provider enrollment applications. - Track progress of outstanding applications and communicate with provider relations representatives for follow-up ensuring enrollment completion. - Maintain accurate and current information in the provider records in credentialing software database and in provider electronic folders. - Maintain credential files in an orderly and current manner. - Provide research and administrative support for special projects. - Ensure HIPAA guidelines are respected by safeguarding protected health information in the capacity of the position and responsibilities. - Create new credentials electronic files, save provider’s credentials to that file according to Global Share Filing Structure Policy, create new Practice and Provider Data Sheets. - Provider Credentials: Maintain current credentials i.e. medical licensure, DEA, COI’s, etc. and set Verity CredentialStream reminders for notification of future expiration dates; maintain Provider Data Sheets with current credentialing information; maintain the credentials spreadsheet for the emergency and urgent care practices. - CAQH Re-attestation: Maintain CAQH re-attestation spreadsheet and re-attest as required updating any expired credentials. - Incoming E-mail, Faxes: Respond to requests for renewed credentials, W-9s, etc. - Maintain Electronic Files: Update provider files with current information, documentation. - Credentialing Software: Document all daily activities in Verity CredentalStream and Teamwork. - Change of Information: Submit to health plans change of information letters and W-9s regarding practice moves, adding locations, changing remit addresses. - Follow-up: Make calls or send emails to health plans and/or medical facilities to check status of applications, change of information letters, or contracts. Important Note: This Job Description is subject to any reasonable adjustment in accordance with the changing and developing needs of the position.

Qualifications

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Requirements

• Preferably College Graduate or at least 2 years in College - Degrees and Courses related to Medical Field is a plus - Strong written and verbal communication skills - Ability to work effectively with minimal supervision - Ability to work with confidential information - Detail oriented - Proficient in the use of email - Highly motivated self-starter - Organized, able to set priorities and meet deadlines - Dependable and reliable - Team player being supportive of Department and Company goals and policies - Must be flexible with schedule - Previous call center experience related to Medical Accounts and Programs is a plus Apply directly on RemoteJobs.org: https://remotejobs.org/remote-jobs/credentialing-assistant-cebucdo-harris-global-business-services-inc