Credentialing Assistant

3 weeks ago


Philippines MediSolution Full time
Credentialing Assistant (Cebu-based) page is loaded## Credentialing Assistant (Cebu-based)locations: Cebu, Philippinestime type: Full timeposted on: Posted Todayjob requisition id: R **Daily tasks and responsibilities include, but not limited to:*** Provides support and assistance for new practice setup as needed.* Track progress of outstanding applications and communicate with provider relations representatives for follow-up ensuring enrollment completion.* Maintains accurate and current information in the provider records in credentialing software database and in provider electronic folders.* Maintains credential files in an orderly and current manner.* Provides research and administrative support for special projects.* Ensures HIPAA guidelines are respected by safeguarding protected health information in the capacity of the position and responsibilities. + Create new credentials electronic files, save provider’s credentials to that file according to Global Share Filing Structure Policy, create new Practice and Provider Data Sheets. + Provider Credentials: Maintain current credentials i.e. medical licensure, DEA, COI’s, etc. and set Verity CredentialStream reminders for notification of future expiration dates; maintain Provider Data Sheets with current credentialing information; maintain the credentials spreadsheet for the emergency and urgent care practices. + CAQH Re-attestation: Maintain CAQH re-attestation spreadsheet and re-attest as required updating any expired credentials. + Incoming E-mail, Faxes: Respond to requests for renewed credentials, W-9s, etc. + Maintain Electronic Files: Update provider files with current information, documentation. + Credentialing Software: Document all daily activities in Verity CredentalStream and Teamwork. + Change of Information: Submit to health plans change of information letters and W-9s regarding practice moves, adding locations, changing remit addresses. + Follow-up: Make calls or send emails to health plans and/or medical facilities to check status of applications, change of information letters, or contracts.**Qualifications and Requirements*** Preferably College Graduate or at least 2 years in College.* Degrees and Courses related to Medical Field is a plus.* Strong written and verbal communication skills.* Ability to work effectively with minimal supervision.* Ability to work with confidential information.* Detail oriented.* Proficient in the use of email.* Highly motivated self-starter.* Organized, able to set priorities and meet deadlines.* Dependable and reliable.* Team player being supportive of Department and Company goals and policies.* Must be flexible with schedule.* Previous call center experience related to Medical Accounts and Programs is a plus.Harris provides mission critical software solutions for the Public Sector, Healthcare, Utilities and Private Sector verticals throughout North America, Europe, Asia and Australia. Working for Harris is the perfect opportunity to fulfill your professional goals as well as achieve your personal dreams Our employees enjoy a casual work environment that offers comfort while providing superior service to our customers. We offer a comprehensive benefit package as well as other additional “Perks”* We empower our employees to make a difference* We have an award winning culture* We offer opportunity to learn* We are financially strong and we are owned by the largest software company in Canada (CSI)* We have funFollow us on social media to learn more about our company values, culture and initiatives**Harris is an Equal Opportunity/Affirmative Action Employer. We consider applicants without regard to race, color, religion, age, national origin, ancestry, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, veteran status, disability, genetic information, citizenship status, or membership in any other group protected by federal, state or local law.***If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at (1)- or at **This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.*
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