Full-Time

Credentialing Assistant

Confirmed live in the last 24 hours

Optima Dermatology

Optima Dermatology

51-200 employees

Comprehensive dermatology and cosmetic skin care services

Healthcare

Entry

Portsmouth, NH, USA

Remote opportunities available for candidates based in ME, NH, IN, OH, FL, NC.

Category
Risk & Compliance
Legal & Compliance
Requirements
  • High school diploma/GED required. Some college preferred.
  • MUST be detailed oriented
  • MUST be passionate about record keeping and tracking dates and deadlines
  • Intermediate to master user of excel and data base programs
  • Knowledge of business administration preferred
  • Medical terminology and insurance industry terminology preferred
  • Intermediate understanding of and Explanation of Benefits preferred
  • Experience with ModMed or similar EMR preferred
  • Must have excellent time management skills and ability to adjust priorities quickly and comfortably
  • Ability to communicate in a clear and professional manner
  • Ability to solve problems, prioritize duties, and follow through with assigned tasks
  • Ability to work independently in fast-paced environment
Responsibilities
  • Managing accurate Patient Statements within Electronic Health System and Third-Party Vendor Sites:
  • Creating statement file and uploading file onto third-party vendor website
  • Daily review of third-party vendor Bad Address Files and update patients account for next statement cycle
  • Daily review of third-party vendor Forwarding Address Files and update patients account for next statement cycle
  • Daily collection of returned patient statements from mailbox and use skip tracing resources to locate current residential information, update patients account for next statement cycle
  • Meticulously maintains and tracks accurate provider and payer related information
  • Work as a liaison between our credentialing, provider and revenue cycle teams collecting, reporting, and tracking information for provider payer and plan participation
  • Submits all documentation needed to enroll providers timely to our credentialing team to expediate new and existing provider payer enrollments
  • Review and management of RCM payer participation documentation ensuring information is always accurate and up to date
  • Keeps meticulous records for provider plan enrollment. Tracks detailed payer information related to participation status and renewal requirements and deadlines
  • Submits all required information to maintain provider participation status with payers and plans ahead of schedule avoiding any lapses in participation and claims processing
  • Keeps meticulous records on all provider licensing and certifications. Tracks all licensure and certification requirements as well as renewal dates and re-enrollment deadlines
  • Works with provider support team to gather all required forms, materials including payment information and submits timely to avoid any license or certification lapses
  • Manage assigned tasks in Electronic Health System:
  • Daily review of outbound correspondence tasks ensuring items are printed and mailed in a timely manner
  • Daily review referral and authorization inquiries by verifying patient insurance coverage and eligibility for services
  • Consistently operate within and is measured on ability to build rapport, actively listen, follow up and manage patient correspondence, internal and external communication, service and support, critical thinking, planning, and problem solving
  • Consistently achieve expected goals including but not limited to completion of assigned daily activities, adherence to work schedule, practice management system, quality, and compliance
  • Work as a collaborative team member within a distributed organization demonstrated by; communicating effectively with leaders, providers, practice staff and co-workers. Participate in team/staff meetings and maintain a positive attitude
  • Adheres to all HIPAA guidelines, complies with annual training
  • Demonstrate strong Interpersonal skills, excellent written and verbal communication, and adheres to documentation expectations
  • Maintain compliance with attendance and punctuality requirements and all other policies outlined in the employee handbook
  • Other duties assigned by the Supervisor, Manager, or Director

Optima Dermatology provides a wide range of dermatology and cosmetic skin care services, catering to individuals with medical skin conditions like eczema and acne, as well as those seeking cosmetic enhancements. The company employs experienced providers who utilize the latest technologies in skin care, offering services that include medical, surgical, and cosmetic dermatology all in one place. This comprehensive approach allows patients to receive holistic care tailored to their needs. Optima Dermatology stands out from competitors by focusing on exceptional patient experiences, treating each patient with the care and attention one would expect from a friend or family member. The goal of Optima Dermatology is to foster long-term relationships with patients, ensuring high satisfaction and encouraging repeat visits and referrals.

Company Stage

Debt Financing

Total Funding

N/A

Headquarters

Portsmouth, New Hampshire

Founded

2018

Growth & Insights
Headcount

6 month growth

1%

1 year growth

1%

2 year growth

1%
Simplify Jobs

Simplify's Take

What believers are saying

  • The addition of new specialists and board-certified dermatologists enhances the company's expertise and service offerings.
  • Opening new state-of-the-art facilities demonstrates Optima Dermatology's commitment to growth and providing top-notch care.
  • A comprehensive range of services ensures diverse revenue streams and the ability to cater to various patient needs, from medical treatments to cosmetic procedures.

What critics are saying

  • The highly competitive dermatology and cosmetic skin care market requires continuous innovation to maintain a competitive edge.
  • Rapid expansion and the integration of new specialists may pose challenges in maintaining consistent quality and patient experience.

What makes Optima Dermatology unique

  • Optima Dermatology combines medical, surgical, and cosmetic dermatology services under one roof, offering a holistic approach that many competitors lack.
  • The company employs industry-leading providers and leverages the latest technologies, ensuring high-quality and cutting-edge care.
  • Optima Dermatology's patient-centric approach, treating every patient like a friend or family member, sets it apart in terms of patient satisfaction and loyalty.

Help us improve and share your feedback! Did you find this helpful?