Credentialing Coordinator

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  • 18-00185
  • Full Time/Contract
  • Credentialing
  • Pasadena, CA
Job Description
CLIENT COMPANY OVERVIEW
Our client is committed to helping ophthalmologists and optometrists realize their full potential while providing best-in-class patient care to all those in need. They are experts in the business of providing Physician ophthalmology services with years of experience in the industry, a world-class surgeon as their founder, and an unwavering commitment to helping both established practice owners and young professionals further their ophthalmology careers.

POSITION SUMMARY
Credentialing Coordinator
(Ophthalmologist)

This position performs credentialing and re-credentialing activities according to company and contracted provider polices which include; CMS, Medi-Cal, health plans and IPAs (managed care)health plans. This position acts as a liaison between the provider and contracted health plans.

The manager would like someone with knowledge/experience with various payors, such as CMS, Medi-Cal, health plans and IPAs (managed care), as well as knowledge/experience credentialing Ophthalmologists.

ESSENTIAL DUTIES & RESPONSIBILITIES

  • Communicating with CMS, Medi-Cal, health plans and IPAs (managed care)health plans.
  • Review and analyze credentialing documents, including education, eligibility, licensure, professional work history, liability insurance and malpractice history
  • Completing credentialing applications and contracts with health plans
  • Working with our Ophthalmologists to complete required documentation

DESIRED QUALIFICATIONS / REQUIREMENTS

Education and Experience:

  • High school graduate or equivalent.
  • Minimum two (2) years related credentialing experience
  • Ophthalmologist credentialing experience required
  • MS Office; Excel experience required
  • EMR Systems experience required

COMPENSATION
$18.00/hr – $22.00/hr

SCHEDULE
Monday Friday
(Days)

POSITION CLASSIFICATION
Full Time; Contract


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