Reporting to the Manager of Clinical Onboarding, the Specialist will be responsible for administering our internal credentialing and privileging program. The ideal candidate will be experienced and comfortable with initial and ongoing credentialing and privileging process for all licensed providers and other designated employees in accordance with FQHC requirements.
Responsibilities:
Manages the completion and submission of new provider applications for enrollment in all commercial insurance, Medicaid Managed Care and government plans for multiple locations
Set up file in the Smyplr system in order for Symplr to start the enrollment process (72 hours)
Monitors applications and follows-up as needed.
Build knowledge base for payer requirements and forms and assist with filing, scanning and mailing as needed.
Establishes providers’ CAQH (Council for Affordable Quality Healthcare) profiles.
Obtain, update, and maintain the National Plan and Provider Enumeration System (NPPES) / Provider Enrollment, Chain and Ownership System (PECOS) accounts for all APRNs, PAs and physicians
Assist with initial license for new graduates and relocation to new states
Responsible for administering our internal credentialing and privileging program. The ideal candidate will be experienced and comfortable with initial and ongoing credentialing and privileging process for all licensed providers and other designated employees in accordance with FQHC requirements.
Minimum Requirements:
Bachelor’s degree preferred, with a minimum of 3 years of related experience in credentialing and/or Physician and provider onboarding
Demonstrates and maintains knowledge of FQHC regulations and other federal and state laws that govern credentialing
The qualified candidate will be highly organized, work independently and demonstrate great communication skills
POSITION SUMMARY: Reporting to the Regional Human Resources Manager, the HR Manager provides leadership to the HR function serving as...
Apply For This JobJob Description This position description includes: Identify and implement recruiting strategies, including: direct advertising, job boards, job fairs, unemployment offices,...
Apply For This Jobbr{display:none;}.css-58vpdc ul > li{margin-left:0;}.css-58vpdc li{padding:0;}]]> Required Years of Experience 3 years Job Details Job Details Thomas Keller’s entities is seeking...
Apply For This Jobbr{display:none;}.css-58vpdc ul > li{margin-left:0;}.css-58vpdc li{padding:0;}]]> The Human Resources Division includes Employment, Employee Relations, Compensation, Benefits, Payroll, and Training. Our mission...
Apply For This JobPosition Overview: The Manager of Provider Operations Strategic Planning will provide a full range of support to the Chief Program...
Apply For This Jobbr{display:none;}.css-58vpdc ul > li{margin-left:0;}.css-58vpdc li{padding:0;}]]> Note: THIS ROLE IS NOT REMOTE AND REQUIRES RESIDENCE IN THE STATE OF WASHINGTON McGee...
Apply For This Job