Innovative Management Systems Incorporated • Whittier, CA 90601
Job #2713189386
Description:
Position: Credentialing Specialist
-Hybrid: Remote & In-office (as needed)
This position reports to the Director of Provider Services and is responsible for full cycle credentialing of Providers and Facilities. Position must have experience with facility credentialing of Hospitals, SNF, Home Health, Radiology etc. The role will work closely with new client implementation and will assist regularly with transitioning Credentialing file of new clients moving from one MSO to another. This position requires strong organization skills, attention to detail, able to identify issues and recommend solutions. Implementation will require thorough auditing of already approved files to ensure system data matches file and reviewing files for errors that will impact Health Plan audit. The Specialist will have oversite to ensure Provider Rosters can be pulled, Re-credentialing timeframe are met and CAQH accounts are setup and maintained. Credentialing Specialist will assist in preparing files for pre-delegation and annual audits, monitoring of providers and entities. This position will also work closely with Quality and will require some travel when Facility Site Reviews are required.
Some Major Duties Include:
Position
Pay
IMS offers competitive compensation. We are an equal opportunity employer and seek diversity in our workforce.
Our Company
Our team at IMS is looking for highly motivated and resourceful individuals to join our growing start-up. We strive to innovate the healthcare industry by providing management and consulting services to healthcare entities, including healthcare facilities, medical groups, providers, and suppliers. Using our wide-ranging experience and comprehensive knowledge of the healthcare industry, our team works to provide quality services and customer care to our clients and their Medicare beneficiaries. By working at IMS, you'll gain an in-depth perspective of the managed care industry and share in the professional development of our expanding company. Take initiative and ownership of your projects to make a difference and go the extra mile! We welcome you to apply to join our team!
Requirements:
Education
Certifications/Licenses
Experience
Knowledge/Skills/Abilities/Other Attributes
Please note that the duties and responsibilities outlined above are summarized and may not encompass all tasks associated with the position. The nature of the role may require adaptation to changing circumstances and additional responsibilities not explicitly mentioned here. The organization reserves the right to modify, interpret, or supplement the job duties as needed.
Compensation details: 25-31 Hourly Wage
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