What are the responsibilities and job description for the Credentialing/Quality Improvement Specialist position at Pyramid Consulting, Inc?
Immediate need for a talented Credentialing/Quality Improvement Specialist. This is a 06 Months Contract opportunity with long-term potential and is located in California (Remote). Please review the job description below and contact me ASAP if you are interested.
Job ID:25-60997
Pay Range: $19 - $20/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
Key Responsibilities:
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy [Link available when viewing the job].
#prof
J2W:CB3
Job ID:25-60997
Pay Range: $19 - $20/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
Key Responsibilities:
- Process applications and reapplications from healthcare providers, which include verifying providers' education, licenses, certifications, and insurance, then accurately entering all details into a database.
- Review emails and respond accordingly.
- Pay close attention to detail, initiate calls and respond to emails.
- Skills-Experience with credentialing, Experience with Microsoft Office applications; Office 365, Excel, Adobe, PowerPoint and Experience in Provider data management and analysis.
- Prefer additional experience in Provider data management and analysis
- 1 years of data entry, customer service, medical office, provider data management, credentialing or healthcare operations (i.e. claims processing, billing, provider relations or contracting) experience, preferably in a managed care or insurance environment.
- Credentialing, knowledge of NCQA, CMS standards.
- Associate or bachelor’s degree preferred, high school diploma/equivalent required.
- Note-As a part of our hiring process, along with an option to directly connect with a Recruiter or apply online, we now offer a texting option to enhance your candidate experience. Click the link below which contains the job description and a few basic questions that will help you ensure this is a good fit and expedite the shortlisting process or you can directly email me. [Link available when viewing the job]
Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy [Link available when viewing the job].
#prof
J2W:CB3
Salary : $19 - $20
