What are the responsibilities and job description for the Account Manager position at PMC?
Responsible for all aspects of the credentialing, re-credentialing and privileging processes for medical providers. Responsible for ensuring providers are credentialed, appointed, and privileged with health plans, hospitals and patient care facilities. Maintain up-to-date data for each provider in credentialing databases and online systems; ensure timely renewal of licenses and certifications.
ESSENTIAL FUNCTIONS INCLUDE BUT ARE NOT LIMITED TO:
· Compiles and maintains current and accurate data for all providers
· Completes provider credentialing and re-credentialing applications; monitors applications and follows-up as needed
· Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers.
· Maintains corporate provider contract files
· Maintains knowledge of current health plan and agency requirements for credentialing providers
· Tracks license and certification expirations for all providers to ensure timely renewals
· Ensures practice addresses are current with health plans, agencies and other entities
· Audits health plan directories for current and accurate provider information.
ADDITIONAL RESPONSIBILITIES:
· Maintains confidentiality of provider information
· Provides credentialing and privileging verifications
· Performs other duties as assigned
QUALIFICATIONS:
· High school diploma or equivalent
· Two years of relevant credentialing experience in Nevada
Skills:
· Knowledge and understanding of the credentialing process
· Ability to organize and prioritize work and manage multiple priorities
· Excellent verbal and written communication skills including, letters, memos and emails
· Excellent attention to detail
· Ability to research and analyze data
· Ability to work independently with minimal supervision
· Ability to establish and maintain effective working relationships with providers, management, staff, and contacts outside the organization
· Proficient use of Microsoft Office applications (Word, Excel, Access) and internet resources
Job Type: Full-time
Pay: $18.00 per hour
Benefits:
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Ability to commute/relocate:
- Las Vegas, NV 89106: Reliably commute or planning to relocate before starting work (Required)
Experience:
- Microsoft Office: 2 years (Required)
Work Location: In person
Salary : $18