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Credentialing Specialist

Company: XIFIN
Location: Simi Valley
Posted on: January 27, 2023

Job Description:

Why XIFIN?

XIFIN, Inc. is a San Diego based, private equity backed, innovative software and services company dedicated to unlocking a world where healthcare operates with efficiency. We help patients and healthcare organizations make informed, optimized decisions to deliver the best care and patient outcomes possible.

Our OmniSYS pharmacy division, headquartered in Dallas, Texas was created through acquisition with a mission to create software driven solutions for pharmacies, pharmacists, and the patients they serve.

We are self-driven innovators making a difference in the healthcare technology space.

Who are we looking for?

The Client Services department provides enrollment, credentialing, and contracting services for its clients. You will be responsible for assisting the team in preparing and submitting enrollment applications, credentialing applications, and maintaining the provider's credentialing files. In this position, you will interact with employees on all levels of the organization, insurances and clients and their support staff. The ideal candidate for this position is detail oriented, a team player, organized and has excellent communication skills.

Responsibilities:

  • Create and update providers credentialing software
  • Create and update CAQH profiles
  • Respond to payor demographic requests
  • Prepare and submit payor applications on behalf of the providers and groups
  • Follow up on submitted payor applications
  • Collect and distribute mail and email correspondence to other team specialists
  • Prepare, submit & follow up on payor applications on behalf of providers and groups
  • Maintain provider files on the network

    What's required?
    • High school diploma
    • Working knowledge of Microsoft Office Suite
    • Excellent organizational skills
    • Excellent oral, written and interpersonal communication skills

      Nice if you have:
      • Prior experience in a billing, healthcare or similar environment preferred

        If you are an individual with a disability and would like to request a reasonable accommodation as part of the application or recruiting process, please contact us at 858-436-2901.

        EEO Statement

        XIFIN is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

Keywords: XIFIN, Simi Valley , Credentialing Specialist, Other , Simi Valley, California

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