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Credentialing Specialist *Partially Remote*

Company: ApolloMed
Location: Monterey Park
Posted on: June 12, 2022

Job Description:

SUMMARY To assist the Management Service Organization (MSO) in the processing of initial and reappointment credentialing applications for contracted cliental. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned. Process initial and reappointment credentialing applications and conduct follow up as needed
Prepare monthly reports for peer review/credentialing committee meetings
Input all credentialing data into credentialing software database accurately and timely
Work closely with IPAs and Hospitals to ensure exceptional customer service
Maintain provider state licenses, DEA certificates, malpractice insurance and any other required credentialing documents
Represents the MSO while interacting with internal and external contacts
Remain up to date with credentialing accreditation standards with NCQA and Joint Commission QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Ability to analyze complex application problems and provide solutions
Ability to work with multiple projects and deadlines
Basic knowledge of current accreditation standards of Joint Commission and NCQA
Excellent written and verbal communication skills
Detail oriented and possess strong organizational skills in a fast-pace environment EDUCATION and/or EXPERIENCE High School Diploma required, BA/BS Degree preferred
2-3 years' experience with managed care, hospital or CVO credentialing required
CPCS certification preferred #HPIND

Keywords: ApolloMed, Monterey Park , Credentialing Specialist *Partially Remote*, Other , Monterey Park, California

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