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We are looking for a detail-oriented Administrative and Credentialing Assistant to join our team in Grand Rapids, Michigan. This long-term contract position requires a proactive individual with attention to detail to handle credentialing processes, manage documentation, and ensure compliance with industry standards. The ideal candidate will thrive in a structured environment and bring strong analytical and communication skills to support organizational goals effectively.
Job Responsibility:
Review and process payor submissions to ensure accuracy and compliance
Coordinate the credentialing of physicians by verifying their qualifications and certifications against relevant databases
Maintain detailed records and documentation for membership and credentialing activities
Facilitate the signing of necessary documents to support new member onboarding
Adhere to established processes and draw analytical conclusions based on procedural guidelines
Conduct recredentialing tasks, ensuring all required certifications and program completions are verified
Cross-check information using various databanks, including the American Medical Association database
Collaborate with team members to uphold quality standards in documentation and credentialing processes
Communicate effectively in written and verbal forms to address credentialing inquiries and resolve issues
Support physician and provider credentialing with a focus on accuracy and thoroughness
Requirements:
Proven experience in credentialing or a related administrative role
Familiarity with credentialing databases and processes, including physician and provider credentialing
Strong organizational skills with attention to detail and process-oriented thinking
Excellent written and verbal communication skills
Ability to verify certifications, employment history, and malpractice records independently
Knowledge of medical or hospital business operations is preferred
Proficiency in handling documentation and maintaining formal records
Analytical mindset to follow procedures and ensure compliance with credentialing standards
What we offer:
medical, vision, dental, and life and disability insurance