Credentialing Assistant

Overview

The Credentialing Assistant is responsible for reviewing the Payer Credentialing status for all new providers, maintaining all rosters, updating CAQH provider profiles, and more.

• Reviews and re-attests all provider’s CAQH profiles.
• Maintains billing insurance grid, provider insurance grid, and each physician’s spreadsheet up to date on current insurance changes.
• Has knowledge of Employee Handbook content along with established policies and procedures.
• Relies on instructions and pre-established guidelines to perform the functions of the job.
• Assists the Credentialing Supervisor and Credentialing Specialist in their job responsibilities/duties when necessary.

• Must be able to communicate effectively with physicians, providers, licensing agencies, insurance payors, and the public; capable of establishing good working relationships with both internal and external customers.
• Some knowledge of insurance billing and hospital credentialing is a plus.
• Knowledge of the credentialing process is a plus but not required.
• Knowledge of credentialing timelines and regulations is a plus but not required.
• Minimum of three to four years of experience in healthcare.
• High school diploma/GED or equivalent working knowledge preferred.

Healthcare Outcomes Performance Company is a vertically integrated musculoskeletal outcomes management company. HOPCo manages physician practices, hospital service lines, population health, and value-based care programs, and musculoskeletal delivery networks.