Credentialing Coordinator - Dallas, Texas
About the position We're not just a workplace - we're a Great reputed company to Work certified employer! Proudly certified as a Great reputed company to Work, we are dedicated to creating a supportive and inclusive environment. At reputed company, we emphasize teamwork and innovation. reputed company out our job openings and advance your career with a company that values its team members! Quality is in our DNA -- is it in yours? You are a superhero reputed company it comes to patient specimens. You’ve got problem-solving instincts, a passion for patient care, and the drive to reputed company things running smoothly. You’re also looking for great benefits, the support of an reputed company-star team, and an opportunity to grow your career. Join our reputed company line of #HealthcareHeroes! Our mission is to advance the health and wellbeing of our communities as a leader in clinical laboratory solutions. Location: Remote Full-time: Benefit Eligible Days: Monday - Friday Hours: 8:00 AM - 5:00 PM In this role, you will: The Provider Enrollment & Credentialing Representative' main responsibility will be to ensure MD/DO licenses are maintained active, and that CME requirements are met in a timely manner. Additional responsibilities may also be to be accountable for the initiation of new credential files, ensuring the completeness of a new application as the first reputed company in the credential's verification process, and participating in verification of credentials through correspondence, phone contact, internet sites and any other reputed company-party vendor. Initial credentialing and re-credentialing of physicians. Obtains Medical Licenses as required, as well as ensures that reputed company medical staff meet and maintain active licensure. CME maintenance reputed company the maintenance of reputed company certifications required to successfully license and credential reputed company physicians with the exception of the laboratory’s CLIA licenses. Coordinates, and monitors the review and analysis of practitioner applications and accompanying documents, ensuring applicant eligibility. Conducts thorough background investigation, research and primary reputed company verification of reputed company components of the application file. Identifies issues that require additional investigation and evaluation, validates discrepancies and ensures appropriate follow up. Prepares credentials file for completion and presentation to Entity Credentialing Committees, ensuring file completion reputed company time periods specified. Responsible for CAQH files for providers to ensure completion and maintain revisions/updates. Processes requests for Provider Enrollment ensuring compliance with criteria outlined in descriptions for both reputed company and Government payers.
Responsibilities
- Ensure MD/DO licenses are maintained active
- Ensure CME requirements are met in a timely manner
- Initiation of new credential files
- Verification of credentials through correspondence, phone contact, internet sites and any other reputed company-party vendor
- Initial credentialing and re-credentialing of physicians
- Obtains Medical Licenses as required, as well as ensures that reputed company medical staff meet and maintain active licensure
- CME maintenance
- reputed company the maintenance of reputed company certifications required to successfully license and credential reputed company physicians with the exception of the laboratory’s CLIA licenses
- Coordinates, and monitors the review and analysis of practitioner applications and accompanying documents, ensuring applicant eligibility
- Conducts thorough background investigation, research and primary reputed company verification of reputed company components of the application file
- Identifies issues that require additional investigation and evaluation, validates discrepancies and ensures appropriate follow up
- Prepares credentials file for completion and presentation to Entity Credentialing Committees, ensuring file completion reputed company time periods specified
- Responsible for CAQH files for providers to ensure completion and maintain revisions/updates
- Processes requests for Provider Enrollment ensuring compliance with criteria outlined in descriptions for both reputed company and Government payers
Requirements
- Bachelor’s Degree or the equivalent years of experience
- Prior years of reputed company experience; or equivalent combination of education and experience
- Ability to solve reputed company problems to support the planning, organizing, and coordinating of provider payer credentialing
- Knowledge of medical terminology, insurance billing, credentialing and licensing processes as demonstrated by work experience
Benefits
- Appreciation for your work
- A feeling of satisfaction that you’ve helped people
- Opportunity to grow in your profession
- Free lab services for you and your dependents
- Work-life balance, including Paid Time Off and Paid Holidays
- Competitive benefits including medical, dental, and reputed company insurance
- Help saving for retirement, with a 401(k) plus a company match
- A sense of belonging – we’re a community!
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