Woundlocal
Under general supervision, the credentialing specialist is responsible for assuring the proper credentialing and privileging of physicians and mid-level providers. This position is responsible for the initial credentialing, re‑credentialing and ongoing monitoring of sanctions and exclusions process for practitioners. This position is also responsible for meeting daily/weekly production goals and maintaining a high level of confidentiality for provider information.
Responsibilities
Guide provider through credentialing and re‑credentialing process and ensure the completion of required documentation for IndieMD TX
Work with provider to prepare and submit Medicare & Medicaid applications to enrollment office
Prepare all credentialing applications, develop and provide documentation that are not supplied by the provider, address any additional information or corrections requested
Verify and track the proper credentialing and re‑credentialing of physicians and mid‑level providers within IndieMD TX
Receive credentialing application and enter data into credentialing system
Work with provider to maintain and ensure compliance for all licensures and appointments with state and governmental agencies and certifications for each provider, generate monthly report of expiring credentials
Ensure ongoing monitoring of performance between credentialing cycles, generate performance review documentation, share with department for completion, and notify external entities when a provider has been suspended, if necessary
Notify providers and departments of credentialing status and result, email notice to department and provider, ensure credentialing system is updated with final credentialing result
Track and ensure the completion of required continuing medical education courses/workshops; provide documentation to outside entities according to requirements
Perform all other duties as assigned
Requirements
Three (3) years administrative experience, preferably in the hospital or clinical field, is required
Ability to effectively serve the customer’s needs with strong attention to detail and ensuring accuracy
Ability to work independently under limited supervision
Strong multitasking and organizational skills
Exhibits accuracy and thoroughness; monitors own work for quality
Strong organizational and time management skills
Proficiency in relevant software such as HSTREAM, PECOS, Availity, Cigna, UHC, and other payer portals
Strong verbal, written, and interpersonal communication skills
Benefits Why this job is AWESOME:
Great team! We spend a ton of time hiring and training the best people
Great pay! We pay very well
Great opportunities! We’re growing and we like to promote from within. If you’re a true rock star, the opportunities are limitless!
Seniority level Mid‑Senior level
Employment type Full‑time
Job function Other
Industry IT Services and IT Consulting
Austin, TX
Base pay range: $25.00/yr - $30.00/yr
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Responsibilities
Guide provider through credentialing and re‑credentialing process and ensure the completion of required documentation for IndieMD TX
Work with provider to prepare and submit Medicare & Medicaid applications to enrollment office
Prepare all credentialing applications, develop and provide documentation that are not supplied by the provider, address any additional information or corrections requested
Verify and track the proper credentialing and re‑credentialing of physicians and mid‑level providers within IndieMD TX
Receive credentialing application and enter data into credentialing system
Work with provider to maintain and ensure compliance for all licensures and appointments with state and governmental agencies and certifications for each provider, generate monthly report of expiring credentials
Ensure ongoing monitoring of performance between credentialing cycles, generate performance review documentation, share with department for completion, and notify external entities when a provider has been suspended, if necessary
Notify providers and departments of credentialing status and result, email notice to department and provider, ensure credentialing system is updated with final credentialing result
Track and ensure the completion of required continuing medical education courses/workshops; provide documentation to outside entities according to requirements
Perform all other duties as assigned
Requirements
Three (3) years administrative experience, preferably in the hospital or clinical field, is required
Ability to effectively serve the customer’s needs with strong attention to detail and ensuring accuracy
Ability to work independently under limited supervision
Strong multitasking and organizational skills
Exhibits accuracy and thoroughness; monitors own work for quality
Strong organizational and time management skills
Proficiency in relevant software such as HSTREAM, PECOS, Availity, Cigna, UHC, and other payer portals
Strong verbal, written, and interpersonal communication skills
Benefits Why this job is AWESOME:
Great team! We spend a ton of time hiring and training the best people
Great pay! We pay very well
Great opportunities! We’re growing and we like to promote from within. If you’re a true rock star, the opportunities are limitless!
Seniority level Mid‑Senior level
Employment type Full‑time
Job function Other
Industry IT Services and IT Consulting
Austin, TX
Base pay range: $25.00/yr - $30.00/yr
#J-18808-Ljbffr