Ancillary Enrollment Specialist
AdventHealth, Maitland, FL, United States
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that
together
we are even better.
All the benefits and perks you need for you and your family:
Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
Paid Time Off from Day One
403-B Retirement Plan
4 Weeks 100% Paid Parental Leave
Career Development
Whole Person Well-being Resources
Mental Health Resources and Support
Pet Benefits
Schedule:
Full time
Shift:
Day (United States of America)
Address:
2600 Westhall Ln
City:
Maitland
State:
Florida
Postal Code:
32751
Job Description:
Ensures credentialing information is complete based on the requirements of the specific provider entity and/or Facility. Ensures that credentialing applications are secured and stored for future use and submits to contracted payer plans for ancillary sites. Assists in maintaining a complete database of all credentialing materials for all contracted ancillary sites supported by corporate Managed Care. Works with internal and external partners to resolve issues concerning credentialing delays related to ancillary sites. Tracks and follows up on initial applications and re-credentialing applications related to ancillary sites coming into the department. Researches and resolves routine ancillary site operational issues with internal and external partners. Coordinates process with Negotiators to ensure contracts are in place prior to sending applications to payer. Supports ancillary contracting and operation services by auditing and analyzing data, verifying applications, preparing amendment letters. Ensures ancillary site credentialing materials are processed efficiently, professionally, and as expeditiously as possible. Other duties as assigned.
Knowledge, Skills, and Abilities:
• Attentive to detail and accuracy; strong organization skills required. [Required]
• Ability to communicate effectively, both orally and in writing. [Required]
• Program planning and implementation skills. [Required]
• Knowledge of related accreditation and certification requirements. [Required]
• Knowledge of medical credentialing and privileging procedures and standards. [Required]
• Ability to analyze, interpret and draw inferences from research findings, and prepare reports. [Required]
• Working knowledge of clinical and/or hospital operations and procedures. [Required]
• Informational research skills. [Required]
• Ability to use independent judgment to manage and impart confidential information. [Required]
• Database management skills including querying, reporting, and document generation. [Required]
• Ability to make administrative/procedural decisions and judgments. [Required]
• MS Office (Excel, Word, Outlook) [Required]
• CAQH [Preferred]
• Proficient in MD Staff [Required]
Education:
• Bachelor's [Preferred]
• High School Grad or Equiv [Required]
Field of Study:
• in business, healthcare administration or related field
Work Experience:
• 4+ experience in healthcare; preferably in managed care, provider credentialing, patient financial services or provider [Required]
Additional Information:
• N/A
Licenses and Certifications:
• N/A
Physical Requirements:
(Please click the link below to view work requirements)
Physical Requirements - https://tinyurl.com/23km2677
Pay Range:
$19.76 - $36.75
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
Category:
Revenue Cycle & Managed Care
Organization:
AdventHealth Centra Care
Schedule:
Full time
Shift:
Day
Req ID:
151896617
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that
together
we are even better.
All the benefits and perks you need for you and your family:
Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
Paid Time Off from Day One
403-B Retirement Plan
4 Weeks 100% Paid Parental Leave
Career Development
Whole Person Well-being Resources
Mental Health Resources and Support
Pet Benefits
Schedule:
Full time
Shift:
Day (United States of America)
Address:
2600 Westhall Ln
City:
Maitland
State:
Florida
Postal Code:
32751
Job Description:
Ensures credentialing information is complete based on the requirements of the specific provider entity and/or Facility. Ensures that credentialing applications are secured and stored for future use and submits to contracted payer plans for ancillary sites. Assists in maintaining a complete database of all credentialing materials for all contracted ancillary sites supported by corporate Managed Care. Works with internal and external partners to resolve issues concerning credentialing delays related to ancillary sites. Tracks and follows up on initial applications and re-credentialing applications related to ancillary sites coming into the department. Researches and resolves routine ancillary site operational issues with internal and external partners. Coordinates process with Negotiators to ensure contracts are in place prior to sending applications to payer. Supports ancillary contracting and operation services by auditing and analyzing data, verifying applications, preparing amendment letters. Ensures ancillary site credentialing materials are processed efficiently, professionally, and as expeditiously as possible. Other duties as assigned.
Knowledge, Skills, and Abilities:
• Attentive to detail and accuracy; strong organization skills required. [Required]
• Ability to communicate effectively, both orally and in writing. [Required]
• Program planning and implementation skills. [Required]
• Knowledge of related accreditation and certification requirements. [Required]
• Knowledge of medical credentialing and privileging procedures and standards. [Required]
• Ability to analyze, interpret and draw inferences from research findings, and prepare reports. [Required]
• Working knowledge of clinical and/or hospital operations and procedures. [Required]
• Informational research skills. [Required]
• Ability to use independent judgment to manage and impart confidential information. [Required]
• Database management skills including querying, reporting, and document generation. [Required]
• Ability to make administrative/procedural decisions and judgments. [Required]
• MS Office (Excel, Word, Outlook) [Required]
• CAQH [Preferred]
• Proficient in MD Staff [Required]
Education:
• Bachelor's [Preferred]
• High School Grad or Equiv [Required]
Field of Study:
• in business, healthcare administration or related field
Work Experience:
• 4+ experience in healthcare; preferably in managed care, provider credentialing, patient financial services or provider [Required]
Additional Information:
• N/A
Licenses and Certifications:
• N/A
Physical Requirements:
(Please click the link below to view work requirements)
Physical Requirements - https://tinyurl.com/23km2677
Pay Range:
$19.76 - $36.75
This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.
Category:
Revenue Cycle & Managed Care
Organization:
AdventHealth Centra Care
Schedule:
Full time
Shift:
Day
Req ID:
151896617