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Job Requirements of Quality Improvement Specialist (Credentialing):
-
Employment Type:
Full-Time
-
Location:
Slab City, CA (Onsite)
Do you meet the requirements for this job?
Quality Improvement Specialist (Credentialing)
Pyramid Consulting, Inc
Slab City, CA (Onsite)
Full-Time
Immediate need for a talented Quality Improvement Specialist (Credentialing). This is a 06+ Months Contract opportunity with long-term potential and is located in CA (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 .
#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:
- A typical day involves processing applications and reapplications from healthcare providers, which includes verifying providers' education, licenses, certifications, and insurance, then accurately entering all details into a database.
- This position would review emails and respond accordingly.
- The person in this position pays close attention to detail, initiates calls and respond to emails.
- Skills-Credentialing, quality, healthcare, data entry.
- Experience with Microsoft Office applications; Office 365, Excel, Adobe, PowerPoint.
- Prefer additional experience in Provider data management and analysis.
- Credentialing, knowledge of NCQA, CMS standards.
- Associate or Bachelors degree pref, high school diploma/equivalent required and 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.
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 .
#prof
J2W:CB3
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