Virtual Credentialing Assistant

PracticeMax is seeking an experienced Credentialing Virtual Assistant. This position is responsible for governmental and commercial payer enrollment processes for providers with office and/or hospital based medical practices/groups.

Primary Responsibilities:

Initiates and oversees the process for credentialing and privileging of medical staff to include gathering of the necessary documents and accurately completing the applications to be sent to the payers and facilities on behalf of providers.
Provides support and assistance for new practice setup and practice/group changes as needed.
Maintains current provider records electronically in credentialing software and electronic provider files.
Provides research and administrative support to special projects and serves as a resource to billing department to answer questions and resolve issues.
Ensures HIPAA guidelines are respected by safeguarding protected health information.

Skills/Qualifications:

Excellent computer skills with Microsoft Word and Excel. Experience with Adobe Acrobat or Like product (PDF Xchange Editor…) a plus.
Exceptional organizational skills with strong attention to detail and the ability to concentrate on highly detailed work.
Excellent written and verbal communication skills.
Ability to work with confidential information, including but not limited to financial and contractual arrangements as well as sensitive personal information.
Experience with contract management a plus.
Works effectively with minimal supervision / highly motivated self-starter.

Education/Experience

Minimum of 3 years administrative experience in health care related field. Previous Credentialing and/or Provider Enrollment experience required.