PHYSICIANS

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AFFILIATIONS

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TREATMENTS

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SPECIALTIES

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CONDITIONS

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PATIENT RESOURCES

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Cardiology Jobs

 
 

Credentialing Specialist

APPLICATION DEADLINE: N/A
JOB TYPE: Part Time

Corporate Office 207

Job Description

 

Responsibilites

  • Provide administrative support and related clerical functions which include data entry, faxing, copying, documentation collection and filing.
  • Collaborate with hospital personnel, office managers, provider relations and medical staff members to assure the credentialing process is moving in an effective and efficient manner.
  • Track credentialing and recredentialing of Medical Staff and payer applications and monitor the status of the applications. Re-Credentialing all physicians 3-year cycle. Ongoing time varies due to application requests received.

Requirements

  • Knowledge of CAQH database
  • Knowledge of OneApp database, preferred. Will train, if needed.
  • Must have proficient knowledge of Excel and Word
  • Maintaining practice and provider database updates via OneApp and CAQH
  • New Provider Initial Appointment Hospital Staff Applications
  • Hospital Reappointment Applications. Online and paper applications
  • New Provider Credentialing with all carriers
  • Insurances 3-year re-credentialing requests vary throughout the year
  • Updating department spreadsheets (weekly or as needed)
  • Completing Provider Demographic Requests from insurances via spreadsheets, online and phone calls
  • Bi-weekly Filing
  • Handling mail. Incoming and outgoing
  • CME maintenance- 6-month audits done on physicians CME’s - forward reports to each office managers
  • ACLS/BLS…maintain effective/expiration dates
  • Related duties as assigned

 

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