Credentialing Assistant

Full Smile Management is hiring for a part-time Credentialing Assistant. Candidate must be detail oriented and a self starter. The hours for this position are flexible for the perfect candidate!

Duties/Responsibilities: The Credentialing Support Specialist is responsible for, but not limited to, the following duties:

• Initial creation of insurance portals as well as maintaining password resets, updates, etc.
• Initial enrollment and problem solving for all Electronic Funds Transfers (EFT's) for all clinics.
• Organization of TAB32 and DSN insurance plans.
• Email monthly reminders to providers with credentials expiring.
• Coordinate renewed documents with Clinical Team Leads.
• Helping the billing department with contractual issues related to claims and insurance contract questions.
• Assist with all re-contracting/renewals for providers company wide.
• Initial input of all insurance fee schedules in multiple software as well as maintaining updates for increases, new codes, etc.
• Assist with licensing renewals for applicable doctors.
• Assist with all primary source documentation organization.
• Adhere to confidentiality, state, federal, and HIPAA laws and guidelines with regards to patient’s records.
• Other duties may be assigned.

Preferred Qualifications and Abilities:

• Maintain punctuality and regular attendance
• Ability to effectively and professionally communicate with patients, families, doctors, and staff
• Ability to work independently, with minimal supervision, while also working closely with team members
• Proficient with Microsoft Office Suite or related software
• Ability to quickly learn and utilize multiple computer applications
• Ability to successfully complete all required job-related training

Physical Requirements:

• Prolonged periods of sitting
• Must be able to lift 15 pounds

Job Type: Part-time

Schedule:

• Day shift
• Monday to Friday

Experience:

• Credentialing: 1 year (Preferred)

Work Location: In person