Credentialing Assistant

Essential Functions:

• Reviews and Re-Attest all provider's CAQH profiles.
• Maintain billing insurance grid, provider insurance grid, and each physician’s spreadsheet up to date on current insurance changes.

Knowledge:

• 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.

Experience:

• Minimum of three to four years of experience in healthcare.
• A high school diploma/GED or equivalent working knowledge is preferred.

Functions:

• 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.

Additional Responsibilities:

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

About the Role:

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.