Credentialing Assistant Fully Remote • Remote Worker - N/A • Quality Management
Job Type Full-time Description The Credentialing Assistant is an entry-level position responsible for screening reviewers for required credentialing and background information, including professional sanctions and criminal background information. The position requires coordination between multiple departments at Dane Street to provide support relating to the information, data, and standards involved in reviewer credentialing. Job Responsibilities & Duties
Responsible for provider enrollment, credentialing, re-credentialing, and contracting processes for medical providers.
Ensure compliance with company policies and procedures, State and Federal guidelines, and URAC standards.
Obtain primary source verification of licensures, certifications, and board certifications.
Conduct background checks and verify active practice, malpractice, judgments, sanctions, and action history.
Process of all documents received by medical providers.
Ensure that all providers are in good standing in accordance with Company and URAC credentialing requirements.
Maintain confidentiality and compliance with HIPAA standards.
Job Relevant Experience Credentialing experience is preferred but not necessary One year of healthcare experience is preferred JOB RELATED SKILLS/COMPETENCIES: Present exceptional communication skills with a clear understanding of company business lines. The ability to apply critical thinking, manage time efficiently and meet specific deadlines. Computer literacy and typing skills are essential. Benefits: We offer generous Paid Time Off, excellent benefits package and competitive salary. If you are an outstanding candidate for this position, if you thrive in a fast-paced environment, and if you are interested in doing meaningful work that impacts others' lives, then we encourage you to apply. About Dane Street (www.danestreet.com): A fast-paced, Inc. 500 Company with a high-performance culture, Dane Street is seeking insightful, astute forward-thinking professionals. We process over 200,000 insurance claims annually for leading national and regional Workers’ Compensation, Disability, Auto and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers and Pharmacy Benefit Managers. We provide customized Independent Medical Exam and Peer Review programs that assist our clients in reaching the appropriate medical determination as part of the claims management process.