Company Overview & Objectives:

California Medical Evaluators is a growing medical-legal company with a network of 200+ physicians and approximately 90+ employees performing medical-legal evaluations throughout California. If you are looking for a dynamic environment in a fast-growing company to utilize your skills and grow, then this is the place for you.

California Medical Evaluators Mission Statement:

California Medical Evaluators brings a unique approach to independent medical examinations. We simplify the medical-legal evaluation experience by leveraging our vast network of highly qualified medical experts who provide simple and sound answers to complex medical-legal questions.

CME Core Values:

Be Tenacious

We are a team of professionals with a can-do attitude and the grit to work through tough challenges.

Be of Service

We are team players who care about the services we provide and how we provide them. We enjoy adding positive value to every interaction.

Be Innovative

We strive to be one step ahead. We invest in our processes and our people to provide industry-leading services.

Be Relationship Driven

We build long-term and trusting relationships. We highly value every interaction with our panelists, our partners, and most importantly, our colleagues at CME.

Be the Best

We are committed to improving every day. We achieve our goals to make CME the best med-legal provider in the industry.

Position Summary:

The Credentialing Assistant will help support the organization with all credentialing, compliance and physician onboarding/offboarding needs.

Shift (Part-time):

Monday - Friday (3-5 days per week)

Some Weekends and evenings depending on the project and deadlines

Hours may vary depending on projects and deadlines

One to two days per week in-person depending on projects and deadlines

Essential Roles and Responsibilities:

• Collaborate with the Sales/Marketing and Practice Management departments to collect and review credentialing documents for new and established QME partners.
• Verify the accuracy and completeness of documents, ensuring that all required information is provided, entered and uploaded onto the database.
• Assist in the timely processing of all credentialing and compliance requests.
• Assist in the onboarding and off-boarding of QME partners.
• Follow and stay up to date with the Department of Workers Compensation, Board of Chiropractic Examiners and QME regulatory requirements and organizational policies.
• Assist new QME partners with the enrollment and preparation for the QME certification process.
• Assist new QME partners with onboarding to CME and existing QME partners with offboarding.
• Assist existing QME partners with the recertification, reappointment and CEU process.
• Assist in the preparation and timely submission of all credentialing packets.
• Assist in preparing and submitting documents for audits and compliance requests.
• Maintain files and documentation of all credentialing and compliance submissions.
• Accurately calculate and process any fees or payments due for credentialing purposes.
• Generate reports and provide credentialing and compliance data as needed.
• Collaborate with internal and external parties to address inquiries and resolve issues.
• Collaborate with department manager and other departments to document SOPs, Policies and Procedures, Best Demonstrated Practices and Knowledge-Based Articles.
• Act as the primary point of contact for credentialing and compliance needs in the absence of the department manager.
• Schedule and assist in the facilitation of inter-department meetings and collaboration initiatives
• Excellent verbal and written communication skills with the ability to interact professionally with QME partners and stakeholders.
• Excellent interpersonal, troubleshooting and conflict-resolution skills
• Excellent organizational skills, attention to detail, and the ability to manage multiple tasks simultaneously.
  

Qualifications and Preferred Skills:

• High School Diploma (Associate or Bachelor’s Degree Preferred)
• Prior experience in an administrative assistant role in healthcare or law
• A minimum of 3-5 years of work experience as an administrative assistant
• Familiarity with credentialing processes and requirements (preferred)
• Strong analytical and problem-solving skills with the ability to work independently and as part of a team.
• Comfortable with the use of technology, databases and Microsoft Office applications.
• Ability to maintain confidentiality, adhere to ethical standards and handle sensitive information appropriately.