Credentialing Assistant

The Credentialing Assistant is responsible for assisting the Credentialing Coordinators, Manager and Director with projects along with clerical duties that are performed in office.

Your Key Responsibilities:

1. Mail – they are responsible for incoming and outgoing correspondence. Logging, distributing, or directing to appropriate department. This includes sending credentialing signature pages to new physicians that we onboard and when they arrive back, distributing them to the appropriate coordinators.

2. Fax – they are responsible for the department fax program, making sure they handle or distribute to the appropriate staff members.

3. Demographic Verifications – they are responsible for all demographic verifications from the payers that come in via e-mail, phone, or fax.

4. Scanning of the Medicare Applications past/present to eliminate the need for file cabinets.

5. Scanning of the Medicaid Applications past/present to eliminate the need for file cabinets.

6. Quarterly review of the CMS revalidation website to verify that all our providers/groups are current with their revalidations and responsible for keeping the spreadsheets up to date. They will also be required to add new providers and remove terminated providers.

7. Checking the department credentialing e-mail inbox daily and distributing the information to the team.

8. Checking the department main phone line voicemail daily and routing messages as applicable

9. Coordinate and oversee the annual COI renewal project.

10. Complete the Annual CV file clean-up project of all Scanned CV files.

11. Ordering Department Supplies as needed.

12. Must maintain office equipment for the department.

13. Assisting the Director, Credentialing with Medicare terminations of providers.

14. Assisting the Credentialing Coordinators with applications on large statewide projects or heavy recredentialing peak periods.

15. Updating Managed Care Monthly (MCM) Updates with provider’s effective dates for any applications that they are responsible for.

16. Notifying Managed Care plans regarding practice changes such as add/term locations & add/term with the coordinators.

17. Setting up folders for all states to include legal documents needed for Medicare applications

18. Other duties may be assigned as the managed care industry changes.

Preferred Qualifications:

1. You are detail oriented and have exceptional organizational skills with utmost attention to detail and data integrity.

2. You enjoy collaborating with others to get projects completed.

3. Working in a progressive and expanding environment.

4. Must be proficient in MS Office and Access.

5. Must be able to effectively communicate with different levels of individuals.

6. Must be able to handle multiple tasks in a fast-paced environment.

7. Work independently with minimal supervision.

8. Adheres to company policy and procedures.

Minimum Qualifications:

1. Must have a High School Diploma or equivalent.

2. Applicant must have Administrative Assistant/Secretarial Experience or Credentialing Assistant/Coordinator Experience for a minimum of 2 years.

3. Healthcare environment a plus.

About GenesisCare:

Across the world, we have more than 440 centers offering the latest treatments and technologies that have been proven to help patients achieve the best possible outcomes. For radiation therapy, that includes over 130 centers in the U.S. as well as 14 centers in the U.K., 21 in Spain and 36 in Australia. We also offer urology and pulmonology care in the U.S. in over 170 integrated medical offices. Every year our team sees more than 400,000 people globally.

Our purpose is to design care experiences that get the best possible life outcomes. Our goal is to deliver exceptional treatment and care in a way that enhances every aspect of a person’s cancer journey.

Joining the GenesisCare team means a commitment to seeing and doing things differently. People centricity is at the heart of what we do—whether that person is a patient, a referring doctor, a partner, or someone in our team. We aim to build a culture of ‘care’ that is patient focused and performance driven.

GenesisCare is an Equal Opportunity Employer that is committed to diversity and inclusion.