Account Manager

PMC
Las Vegas, NV Full Time
POSTED ON 6/3/2023 CLOSED ON 1/8/2024

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

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