Credentialing Specialist at Urgent Team

Company: Urgent Team Management
Location: Pleasant View
Posted on: January 24, 2023

Job Description:

Urgent Team is looking for an experienced Credentialing Specialist to join our corporate office in Nashville, TN (Green Hills). This position is responsible for the daily credentialing, on-boarding, and payer enrollment functions for all physicians and midlevel providers. This position is located in Green Hills and will work a typical Monday-Friday schedule. A hybrid schedule may be possible after training.
ESSENTIAL DUTIES AND RESPONSIBILITIESThe following duties and responsibilities generally reflect the expectations of this position but are not intended to be all inclusive. Other duties may be assigned.
--- Responsible for the provider credentialing/on-boarding process prior to a new physician or midlevel provider working --- Responsible for the payer enrollment process for all physicians and midlevel providers--- Responsible for the re-credentialing and re-enrollment of current physicians and midlevel providers --- Maintain high level of expertise in credentialing and payer enrollment rules, regulations and standards regarding Federal and multi-state policies that affect payer enrollment and company revenue--- Assist in the maintenance, development, and implementation of the credentialing process and procedures--- Attend pertinent internal and external meetings--- Perform data management and reporting from Echo One/Symed database and ancillary systems --- Generate and present ideas for improvement
EDUCATION and/or EXPERIENCE--- High school diploma or equivalent--- Minimum one year experience in medical or related field with a thorough understanding of provider credentialing and payer enrollment--- Excellent writing and communication skills--- Good organizational and project management ability--- Comfortable extracting and formatting data for ad hoc report requests--- Proficient in Microsoft Office Suite
Benefits: -
Our full-time, benefit-eligible team members are offered comprehensive benefits that help support their health and financial goals. - Options may include: Medical, Dental, and Vision coverage; Company-paid life insurance, as well as additional voluntary coverage; Disability coverage; Flexible Spending Account; Healthcare Reimbursement or Healthcare Savings Account; 401K plan with company contribution; Paid Time Off; Holiday Pay; Continuing Education Reimbursement; No-Cost Office Visits and generous discounts on some billable services

Keywords: Urgent Team Management, Clarksville , Credentialing Specialist at Urgent Team, Other , Pleasant View, Tennessee