Credentialing Specialist Job at Nexus HR Services, El Monte, CA

QWZlTEZvRVlCUHVaQ3hndWNjbCtjSHR2dlE9PQ==
  • Nexus HR Services
  • El Monte, CA

Job Description

Credentialing Specialist - El Monte, CA

Compensation: $45,000 - $55,000 per year DOE

Overview: Nexus HR is looking for a Credentialing Specialist in El Monte, CA. The ideal candidate will be responsible for overseeing and managing the credentialing processes for healthcare professionals within the organization. 

About the Job

The Credentialing Specialist will help maintain providers’ compliance to legal regulations and accreditation. They will serve as the bridge that facilitates credentialing needs for the clinic’s medical providers and the organizing/credentialing/accrediting organizations. The Credentialing Specialist will be involved in the application and the maintenance of the credentialing of all medical providers as well as managing medical records and files. 

Duties and Responsibilities:

  • Create and maintain files of all medical providers, form physicians to mid-level providers, to medical assistants, both hard and soft copies. 

  • Create and maintain files for credentialing applications and renewals.

  • Process and track new applications and renewal applications for all medical providers.

  • Coordinate with billing and management to monitor and resolve any denials or any issues with authorization related to provider credentials.

  • Maintain a provider database and other important credentialing records.

  • Keep up to date with the latest credentialing legislation and industry standards.

  • Manage medical records and files

  • All other tasks assigned.

Qualifications :

  • At least high school diploma or GED equivalent

  • 2 years of experience in credentialing or comparable work experience

  • 1 year of experience working in the healthcare industry

  • Familiarity with California credentialing statutes and regulations

  • Strong knowledge of credentialing process and procedures

  • Familiarity with EHR/EMR softwares

  • Excellent customer service towards colleagues and providers.

  • Able to work in Sacramento, CA

  • Authorized to work in the US

Benefits:

  • Dental

  • Vision

  • Medical

  • 401k 

  • Paid Leave

Job Tags

Work experience placement,

Similar Jobs

Omark Consultants Inc

Entry Level Gas Line Safety Technician Job at Omark Consultants Inc

 ...findings correctly. These are full time Monday-Friday 7:00 Am to 3:30 Pm positions, with occasional overtime and weekend work. No experience? No problem. We provide paid training with an instructor. You'll start at $24/hour with opportunities to earn up to $25/hour... 

The Roman Group

Real Estate Agent, Showing Agent ... Will Train! Job at The Roman Group

 ...Summary Description Advance your real estate career by joining the elite 20% of professionals in North America with our distinguished...  ...rewards. Responsibilities Participate in PLACE New Agent Launch to internalize PLACE lead generation and prospecting scripts... 

National Anesthesia Services Inc

Locum Opportunity - 3 weeks on/1 week off in Southern Oklahoma - 7133 Job at National Anesthesia Services Inc

 ...us the highest compliment there is and refer us to your colleagues! We have an excellent referral program that consistently earns you extra money with every hour your colleague works for us. For more information on this program or to submit a referral, please contact us... 

Wyndham Destinations

Sales Tour Guide Job at Wyndham Destinations

 ...inspiration into exceptional experiences for millions of travelers worldwide. Travel and Leisure is currently seeking Sales Tour Guides who have the desire to sell dreams and live one too! In this position you will meet face-to-face with customers that are brought... 

MyKelly

Remote Bilingual Spanish-English Interpreter MS Job at MyKelly

 ...Professional & Industrial, were passionate about helping you find a job that works for you. Were seeking Spanish Bilingual Interpreters fluent in Spanish and English for a great work from home job opportunity in (New Jersey). With us, its all about finding the...