Credentialing Administrative Assistant

Summary:

The Credentialing Assistant assists the Credentialing Coordinator in all aspects of licensing and credentialing for providers.

Responsibilities:

• Assists in maintaining and tracking credentialing roster, employee physical examination and vaccine roster, and supervising physician agreements

• Assists with new provider application including National Provider Identifier (NPI), National Practitioner Databank (NPDB), The Drug Enforcement Administration (DEA), The Office of In-spector General (OIG), Provider Enrollment, Chain and Ownership System (PECOS)

• Responds to emails, faxes and answers incoming calls regarding provider credentials.

• May travel to clinic sites for delivery or pick-up of physician/hospital documents and signatures.

• Ensures that provider files and records are maintained in accordance with legal requirements and company policies and procedures.

• Following the credentialing checklists; the collection of required items/documents from providers and other sources are performed in a timely manner.

• Assist with the preparation of new applications / pre-applications clinical privileges.

• As instructed, completes revisions of applications including the collection of pending credentialing documents.

• Handles with urgency any inquiries regarding provider’s credential status

• Works diligently with colleagues to ensure the accuracy of all files by tracking the expiration of licenses and certifications.

• Assumes responsibility for establishing and maintaining effective communication, coordination, and working relations with Company personnel and with management.

Qualifications:

Education: High school diploma or equivalent. Bachelor’s Degree Preferred.

Certification/Licensure: Certified Provider Credentialing Specialist (CPCS) preferred.

Experience: Two years of relevant credentialing experience

Skills:

• Credentialing experience preferred, but not required.
• Office equipment (phone, fax, etc.) and computer proficiency necessary, including Microsoft Office (Outlook, Word, Excel, PowerPoint) and Adobe.
• Must be able to learn quickly and work with minimal supervision.
• Ability to effectively prioritize and execute tasks in a high-volume, high-pressure environment.
• Strong customer service orientation and focus.
• Must be reliable and possess extreme attention to detail and documentation.
• Excellent interpersonal and communication skills, both oral and written.

Physical Requirements:

Hearing: Adequate to perform job duties in person and over the telephone.

Speaking: Must be able to communicate clearly to patients in person and over the telephone. Vision: Visual acuity adequate to perform job duties, including reading information from printed sources and computer screens.

Other: Requires occasional lifting and carrying items weighing up to 20 pounds unassisted. Requires frequent bending, reaching, and repetitive hand movements, standing, walking, squatting and sitting, with some lifting, pushing and pulling exerted regularly throughout a regular work shift.

La Maestra Community Health Centers is an Equal Opportunity Employer. We encourage applications from all individuals regardless of race, religion, color, sex, pregnancy, national origin, sexual orientation, ancestry, age, marital status, physical or mental disability or any other protected class, political affiliation or belief.