Credentialing Specialist

Quadrant Inc

Bethesda, MD

JOB DETAILS
SALARY
SKILLS
Health Plan, Insurance, Medicaid, Medicare, Provider Credentialing
LOCATION
Bethesda, MD
POSTED
1 day ago
Credentialing Specialist
Bethesda MD
Pay From: $25 per hour

MUST:
The Credentialing Specialist should have the following:
2+ years of credentialing providers on the insurance side commercial and Medicaid/Medicare
Entering and updating data from provider applications into credentialing database
Reviewing applications for accuracy and completeness
Handling Primary Source Verification thru any of these sites: OIG, NPBD, CAQH, NPPES and Student Clearing House
Tracking and following-up on verifications in the processing applications
Reviewing and validating documents
Look for discrepancies and correct
Track and follow up on verifications
Comfortable working in a high volume setting
Strong documentation skills and administrative support skills
Organized and detailed
CPCS certification or currently pursuing
High School Diploma or GED

DUTIES:
The duties of the Credentialing Specialist include but are not limited to the following:
Handle credentialing of providers with commercial insurance payers as well as Medicare and Medicaid
Review credentialing applications for accuracy and completeness
Handle Primary Source Verification thru OIG, NPBD, CAQH, NPPES and Student Clearing House
Maintain and update database
Enter and update data from provider applications into credentialing database
Review and validate licensure
Prepare and provide information to payors and staff
Submit the provider rosters to payors with delegated status
Track and follow-up on verifications in the processing of applications



Quadrant is an affirmative action/equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, status as a protected veteran, or status as an individual with a disability. Healthcare benefits are offered to all eligible employees according to compliance mandated by the Affordable Care Act.

About the Company

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Quadrant Inc

Quadrant is a full-life cycle staff augmentation agency providing a proven "rapid fire" approach in responding to the needs of our clients. Quadrant offers a comprehensive suite of staffing solutions for organizations in the Healthcare, Medical, Dental, Information Technology, HR and Government contract sectors.

Our clients have come to include some of the largest and most recognized brand named companies in the Washington, DC and Baltimore, MD metropolitan regions. Quadrant is a DOD TOP Secret cleared facility and holds a Maryland Minority Business Enterprise (MBE) and Virginia SWaM certification. Quadrant's clients are rapidly hiring a mix of healthcare, medical, dental, information technology, recruiting and HR professionals.

Quadrant is recognized as the largest Healthcare Staffing agency in the Washington DC area. We support every major healthcare system and thousands of area healthcare practices. Our healthcare division focuses on all clinical and nonclinical staff with the exception of physicians. Our database boasts hundreds of thousands of local screened healthcare professionals; the largest in the area. Our resources enable us to respond to our clients requests quickly, generally within 24 hours of request on mainstream orders.

Our Information Technology clients support a broad mix of commercial and federal government agencies. Our clients include government contractors who support projects with federal agencies such as U.S. Department of Veterans Affairs, National Institutes of Health(NIH), U.S. Customs and Border Patrol, FDA, FBI, USPTO, DHS, DHHS, DOD, DOJ, DOE, DISA, and USPS. In addition to our federal portfolio, Quadrant also supports a range of commercial clients focusing in software, telecom, mobile, web and healthcare development.

Whether you are a job seeker or a company with open positions to fill we will bridge the talent gap. Contact any of our seasoned professional recruiters or account managers and we will walk you through our proven staffing methodology. We offer a consultative approach to both potential employee and employer. We seek the right match, at the right time, every time.

COMPANY SIZE
500 to 999 employees
INDUSTRY
Healthcare Services
FOUNDED
2017
WEBSITE
http://www.quadrantinc.com/