New

Credentialing Specialist

TEKsystems
$26.00 / hr
life insurance, sick time, 401(k), retirement plan
United States, California, Fairfield
Apr 04, 2025
Credentialing Specialist Location: Fairfield, CA Work Environment: Onsite, Monday - Friday \| 8am - 5pm (flexible start times at 7:30am/8:30am) Essential Duties and Responsibilities: * Perform credentialing and re-credentialing activities according to policies and procedures. * Send forms and related documentation, track and follow-up to ensure timely return of information. * Gather information, research discrepancies, and scrutinize documents for consistency and accuracy. * Monitor healthcare practitioners' licensing boards and federal and state reporting sites. * Review comprehensive written documents and write concise, accurate summaries. * Prepare and maintain files ensuring all documentation meets standards to demonstrate policies and procedures are followed and decisions are documented. * Educate providers on the completion of forms and required submissions. * Prepare a variety of reports and templates using Word and Excel. * Enter data into several databases. * Respond to telephone inquiries. Additional Skills & Qualifications: * 1-2 years of credentialing experience or 2-3 years of experience with verifying insurances or working with benefits. * Medical Terminology. * Strong written and oral communication skills. * Advanced computer skills, including proficiency in multiple software applications such as Microsoft Office. * Strong organizational and multi-tasking abilities. * Excellent interpersonal and customer service skills. * Detail-oriented with the ability to recognize vital information. * Consistently maintain high quality and production standards. * Ability to use good judgment in making decisions and handle sensitive issues with diplomacy and tact. Employee Value Proposition (EVP): This is a great opportunity to work with one of the biggest growing health plans in Northern California. This organization has been rated as one of the top places to work. They take pride in providing career opportunities to their employees. They recently expanded over the last year, adding on 10 additional counties they now support. There is a lot of opportunity to grow with this company and a great foot in the door to healthcare. Intermediate Level Pay and Benefits The pay range for this position is $26.00 - $26.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: * Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee Assistance Program * Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully onsite position in Fairfield,CA. Application Deadline This position is anticipated to close on Apr 9, 2025. About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.