Credentialing Associate

Title: Credentialing Associate

Classification (FLSA): Non-Exempt

Position type:  Full time      

Reports to: Director, Credentialing

Summary / Objective:  

QGenda is looking to hire a full-time Credentialing Assistant. The ideal candidate is hyper-organized, able to work at a quick pace, and has a passion for credentialing.

We are looking for an experienced candidate who is committed to the growth of the organization and dedicated to providing exceptional customer service. They must be a team player and open to working closely with the credentialing team to handle the credentialing and payer enrollment process from beginning to end.

Key Responsibilities: 

• Perform the administrative duties as assigned by a Director or Project manager to assist credentialing in the provider enrollment process.

• Develop a deep expertise in how CredentialGenie software, services, processes, systems, and resources work, and how to use them to drive positive outcomes.
• Help with the onboarding process by working directly with credentialing staff, and providers to help facilitate the process of enrollment with insurance payers.

• Address time-sensitive issues such as customer requests for information, customer issues or concerns, and responding in a professional and timely manner.
• Upload and maintain important documents to our credentialing software
• Pull reports and update data as needed
• Develops and maintains good working relationships with the credentialing team to create partnerships that yield success, results, and credibility
• Assistance with maintaining worklists and provider-specific records in a credentialing database, ensuring all important details are documented and accurate.
• Properly maintain files and missing items on providers as requested, items may include (CAQH, CV, certifications, licenses, malpractice files, hospital privileges, etc.)

• Performs data entry and scans accurately and efficiently according to established policies, procedures, and guidelines.
• Consistently knowledgeable of the status of each assigned process and answers inquiries related to providers’ credential status.
• Assists with primary source verification when needed.
• Work closely with the other team members to support them, and ensure that the enrollment is handled as quickly and professionally as possible.

• Maintains excellent communication (verbal, written, and electronic) with all customers, including, but not limited to, internal staff, providers, and customers.
• Demonstrates a service-oriented approach to the position by conveying courtesy, respect, and a positive attitude by showing initiative and offering assistance to other staff.

• Maintains confidentiality of provider information and performs other miscellaneous job-related duties as assigned.

Knowledge, Skills and Abilities:

• 1-3 years of payer enrollment experience
• Superior customer service skills
• Strong communication skills verbal, and written
• Ability to organize and prioritize work and manage multiple priorities
• Excellent computer skills
• Ability to problem-solve, research and analyze data quickly
• High sense of urgency and likes to meet deadlines
• Strong interpersonal skills – team player who is able to prioritize multiple responsibilities, manage a large workload within tight deadlines – works well under pressure and consistently meets deadlines, readily adapts to change and excels in a productivity-based environment
• Strong communication skills verbal, and written
• Ability to organize and prioritize work and manage multiple priorities
• Excellent computer skills
• Ability to problem-solve, research and analyze data quickly
• High sense of urgency and likes to meet deadlines

Education / Professional Certifications or Licenses Required:

• Bachelor’s degree from an accredited University 

Work Environment / Physical demands:

Computer-based work environment. 

Sitting and standing for extended periods

Lifting of 5 - 10 pounds.

Awards:

• 2018 - EY Entrepreneur of the Year
• 2018 - GA Fast 40
• 2018 - Deloitte Technology Fast 500
• 2018 - Glassdoor Top 50 CEO
• 2019 - GA Fast 40
• 2019 - AJC Best Places to Work
• 2020 - Deloitte Technology Fast 500
• 2020 - AJC Best Places to Work

Compensation & Perks:

• Competitive Salary
• Bonus Eligible
• 401k Employer Match

Great Benefits & Culture:

• Full Health and Dental (QGenda pays 100% of the individual premiums)
• Employee-centric work culture
• Work remotely when needed
• 3 "Flex Hours" per week
• Relaxed vacation policy
• Company outings
• Costco membership
• Casual dress
• Opportunity to be part of a fast growing software company with hundreds of customers and thousands of users around the world.

Applicants must be currently authorized to work in the United States on a full-time basis.