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Credentialing Assistant

Position: Credentialing Assistant
Contact: Jeanette Howard
Contact Email: [email protected]
Phone: 2052506855
Fax Number: 2052506848
Company: Norwood Clinic Inc
Type: Full-Time
Categories:

Norwood Clinic, Inc. is looking a motivated individual to join our team.  Candidates must have a positive attitude and be detail oriented. Prior medical office credentialing experience required. This position functions as the primary credentialing contact for 23 physicians and 8 Nurse Practitioners.

RESPONSIBILITY AND AUTHORITY; This position is responsible for updating and maintaining all credentialing applications and files for all Clinic physicians. PRIMARY ACTIVITIES Support medical professionals, as it relates to collecting, uploading and auditing personal documentation including resume, immunity records, licenses and diplomas and certifications. Complete enrollment/credentialing and re-credentialing applications Maintain a detailed log of all pending and completed work Communicate the results and status of the applications to physicians, payers, managers, and co-workers. Maintenance of physician enrollment and CAQH profiles Documentation within enrollment database Monitor and track upcoming credential renewal dates Coordinate signatures Payer processing and research Involves extensive phone work and internet. Research and resolve claim issues related to physician enrollment. Perform other duties as may be required by supervisor. Communicate with Business Office on claim issues regarding provider numbers and participating status.


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