Credentialing Assistant - Medicaid
essen medical associatesBronx, NY
Credentialing Assistant - Medicaid
essen medical associatesBronx, NY
today
Occupations
Medical Secretaries and Administrative AssistantsMedical AssistantsMedical Records SpecialistsIndustries
Offices of Physicians (except Mental Health Specialists)All Other Miscellaneous Ambulatory Health Care ServicesServices for the Elderly and Persons with DisabilitiesAbout the role
Credentialing SpecialistThe Credentialing Specialist is responsible to coordinate and assist with the day-to-day administrative functions of the Department. The selected candidate will have excellent written communication skills, able to multitask and manage time effectively and provide administrative support to the Delegation team within the Credentialing Department.
ResponsibilitiesKey Responsibilities:
Efficient and timely completion of confidential Medicaid applications for provider enrollment, group affiliations, and ETIN enrollment/maintenance.
Follow established timelines for processing and completion of applications
Critically evaluate application for any issues that may require special consideration, or additional review, and take appropriate action to resolve issue
Identify providers whom are due for ETIN recertification and escalate to supervisor appropriately
Coordinate with appropriate credentialing onboarding staff to obtain required information from provider
Perform self-audit of work to ensure data integrity before mailing applications
Document all tasks, phone calls, emails and other forms of communication during the application process.
Update rest of Medicaid team and onboarding platform once mailed
Assist to track the status of mailed applications, if needed
Provide status updates to Credentialing Department's leadership within one business day, from receipt of request
Work with supervisor in identifying back-up coverage when out of the office
Timely and complete updates of credentialing software
Complete other related tasks or projects as assigned
Provide back-up to other Credentialing staff as necessary
Ensure providers files have up to date forms for Medicaid revalidations and yearly certifications.
Communicate with all levels of organization to obtain documentation and signatures.
Competencies:
Able to multitask, prioritize, and manage time efficiently
Excellent verbal and written communication skills
Strong interpersonal and communication skills with an ability to work effectively with a wide range of people, teams, managers, supervisors, and vendors.
Proficient with MS Office (outlook, word, excel, power point, access)
QualificationsQualifications:
Bachelor's Degree in a Health-Related Discipline: Public Health, Healthcare Administrative, Health Service, Psychology or Sociology Highly Preferred, or in process
High School Diploma Required
At least one year of office administrative experience preferred
Notary a plus
Equal Opportunity EmployerESSEN HEALTH CARE IS PROUD TO BE AN EQUAL OPPORTUNITY EMPLOYER
Essen Healthcare is proud to be an equal opportunity employer, and we seek candidates who desire to work in and serve an ethnically-diverse population.
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JOB OVERVIEW
Experience level
Mid
Location
Bronx, NY
Occupation
Medical Secretaries and Administrative Assistants
Industry
Offices of Physicians (except Mental Health Specialists)
Posted
today
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