Overview
BerryDunn is seeking a Credentialing Assistant to join our Healthcare Credentialing Practice Area. Under the supervision of the Credentialing leadership team, the Credentialing Assistant will be responsible for supporting all aspects of credentialing/re-credentialing (including Primary Source Verification – PSV - efforts), enrollment and privileging processes by creating provider files in our secure system, receiving, reviewing, sorting, and saving provider documents, accurately loading provider information into the Credentialing database, performing CAQH maintenance, and following up on outstanding provider and client items. The Credentialing Assistant works closely with the Credentialing leadership in support of the credentialing team and client needs while meeting departmental, organizational, and contractual obligations. This position provides excellent growth opportunities and is planned to sit remotely.
Travel Expectations: This role requires minimal travel, less than 10% per year. Travel to client sites can range up to 10%.
You Will
- Receive initial and recredentialing provider documents and will be responsible for reviewing, sorting, and saving all material in the appropriate folder on the secure server.
- Accurately load provider and client information into the Credentialing database.
- Assist with the Credentialing database maintenance in accordance with BerryDunn ’s policies and procedures for all participating and non-participating providers with payer identification numbers and effective dates as requested.
- Follow up and track outstanding provider and client documents in support of the Credentialing team.
- Provide support for the Credentialing team by generating and preparing reports from the Credentialing database
- Generate, review, save and circulate recurring ongoing monitoring reports for clients and internal stakeholders
- Provide support for BerryDunn ’s NCQA certification by maintaining policy and supporting documents and assisting with file audits as requested.
- Provide administrative support for special projects and client engagements as requested, including conducting research and maintaining business development files.
- Complete, update and maintain Council for Affordable Quality Healthcare (“CAQH”) profiles for providers as requested
- Assist the Credentialing team with faxing and scanning activities as needed.
- Continuously inform Credentialing leadership of the project status and assist in managing expectations related to deliverables and deadlines
- Be responsible for timely and accurately accounting of hours (billable and non-billable) in time and attendance software for proper billing of services rendered
- Be cross trained as back-up for other Administrative Team members
You Have
- High school diploma - required
- 2-3 years relevant experience; specialized skills in Administrative/Project support, Customer Service, Credentialing and/or Medical Billing is preferred
- Ability to work independently, as well as, in a team setting
- Excellent organization and planning skills to manage priorities and deadlines
- Excellent interpersonal and communication skills (written and verbal)
- Strong attention to detail and quality
- Proficiency with MS Office suite (Word, Outlook, Excel, Teams) and Adobe Acrobat/Adobe Sign.
Compensation Details
The hourly rate for this role is $23.00 - $27.00. This rate range represents BerryDunn ’s good faith and reasonable estimate of the range of possible compensation at the time of posting. If an applicant possesses experience, education, or other qualifications more than the minimum requirements for this posting, that applicant is encouraged to apply, and a final salary range may then be based on those additional qualifications; compensation decisions are dependent on the facts and circumstances of each case. The salary of the finalist selected for this role will be based on a variety of factors, including but not limite