Credentialing Coordinator

Argus Medical Management is a physician practice management company that has served physician communities in the greater Long Beach, Los Angeles, Orange County, and Inland Empire areas for 30+ years. Argus Medical provides comprehensive billing and managements services which include contracting, credentialing, HR services, accounting, etc. to support Physicians in private practice.

We are seeking a Full-Time Credentialing Coordinator to join our team in Cypress, CA.

Job Type: Full-Time, Temp-to-Hire

Hours: Mon-Fri, 8:30am-5:00pm

Pay: $25.00-27.00/hr

The Credentialing Coordinator is responsible for supporting the Credentialing Specialist with credentialing and recredentialing process for physicians and allied health providers. This includes preparing and submitting applications to insurance payers, hospitals, and healthcare organizations. This role maintains accurate provider data within credentialing systems, tracks application statuses, and follows up with insurance companies and credentialing bodies to ensure timely approvals.

Primary Responsibilities:

• Coordinate and maintain the Credentialing management database. Update Payer Credentialing applications and forms.
• Monitor all documents and data exchanged within the Credentialing database to ensure quality of services, and accurate completion of Credentialing forms and processes. Coordinate with Providers/Practices to ensure that proper forms are created based on individual Payer requirements.
• Maintain Payer Credentialing forms. Undertake periodic audits of all forms for accuracy and changes, as well as Payer process flow.
• Help develop and design innovative tools, features, and workflows to improve Credentialing
• Coordinate with the Payer to ensure that all Credentialing requirements are met.
• Submit Credentialing forms and applications to Payers as needed. Follow-up on submitted applications with Payers or Practice/Client.
• Establish records and reports of all data and documents on behalf of Practice/Client
• Coordinate and monitor Credentialing data and documents.

Qualifications:

• 1 year of healthcare credentialing standards, regulations, and best practices.
• Strong attention to detail and excellent organizational skills.
• Experience provider enrollment with PPO, HMO, and Government Payers.
• Experience in provider enrollment follow-ups.
• Excellent written and verbal communication skills.
• Proficiency in Microsoft Office Suite, including Word, Excel, and Outlook.

Argus Medical Management is an Equal Opportunity Employer

10.7 JR/MG