Credentialing Specialist Job at InnovaCare Health, Orlando, FL

MEVQOGs4bzhwTUMrRUNtUTFGQXRCcDVlSVE9PQ==
  • InnovaCare Health
  • Orlando, FL

Job Description

LE0020 Orlando Family Physicians, LLC

It's fun to work in a company where people truly BELIEVE in what they're doing!

We're committed to bringing passion and customer focus to the business.

Job Summary : Assisting medical professionals by verifying licensing, their training, schooling. Making sure they meet the Federal and State and NCQA standards and requirements of their profession. Filing payor’s applications, making the changes for licenses and certificates for the new providers files and assisting on the Updates of various web sites.

Responsibilities:

  1. Assist to change Medical Licenses and DEA Certificates of newly hired Providers.

  2. Assist Updating the CVs, gathering all the demographics for the Provider Information forms.

  3. Verifying licensure, certificates and training of medical providers.

  4. Gathering the components of a Credentialing Package for the new Providers. 5. Initiating CAQH files ready for new providers National credentialing files.

  5. Assist on the constant updating of the CAQH and Healthgrades various other Web sites.

  6. Assist redacting Introduction letters and training for our new providers and their State and National guidelines.

  7. Processing payors applications for the newly hired providers, and the applications for renewals every two to three years for existing providers.

  8. Understanding of the different requirements of payors and the way these requirements change.

  9. Keeps the “timeline” for provider applications so we can manage a large group of constant pending files.

  10. Constant Audits of the work done to assure accuracy and quality.

  11. Keeping up with all application status to assure credentialing completeness.

  12. Constant communication with the team.

  13. Cooperation with all other company teams and their needs for credentialing information.

  14. Maintaining open communications with office administrators to ensure the exchange of renewed certificates and licensing.

  15. Assist in anything the Credentialing Specialist needs

Skills and Specifications

• Ability to communicate clearly and effectively verbally and in writing.

• Ability to prioritize, multitask and change “mode” as needed.

• Excellent Customer Service skills.

• Excellent computer skills (Microsoft Word, Excel, and Outlook)

• Detail -oriented and highly organized.

• Ability to work detailed projects.

• Ability to keep sensitive and confidential information guarded.

• AA Degree or equivalence.

• Certification of National Association of Medical Staff Services or equivalence. • Human Resources Experience.

• Office etiquette and Communication skills.

• Project Management experience.

If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!

Job Tags

Work at office

Similar Jobs

Hood Industries, Inc.

Outside Sales Representative Job at Hood Industries, Inc.

 ...related businesses. Hood Distributionis looking for an Outsides Sales Representative for its Indianapolis, IN facility. The successful...  ...quality and customer responsiveness expectations.~Coordinate outside sales efforts with inside sales reps. ~Assure that the inside... 

TeamBuilder

Data Scientist (forecasting & optimization); contracted role Job at TeamBuilder

TeamBuilder is a rapidly growing healthcare SaaS company on a mission to transform healthcare...  ...insights from complex healthcare data, build predictive models that scale, and...  ...Development Collaborate with lead data scientist to build and evolve core optimization models... 

VSV WINS INC

Environmental Health and Safety (EHS) Officer Job at VSV WINS INC

 ...Job Title: Environmental Health and Safety (EHS) Officer Location: Littleton, MA (Zip: 01460) Work Arrangement: Onsite (Full-Time) Compensation: $78,208 $150,000 annually Placement Fee: 6% Estimated Payout: ~$4,692 $9,000 Payment Timeline: 90 days About... 

Liberty Personnel Services, Inc.

Professional Land Surveyor Job at Liberty Personnel Services, Inc.

 ...Qualifications ~15+ years of surveying experience, including leadership and project management ~ Licensed Professional Land Surveyor in Virginia required ~ Bachelors degree in Surveying, GIS, Engineering, or related field ~ Strong leadership experience managing... 

HomeWell Care Services FL196

Medical Office Manager Job at HomeWell Care Services FL196

 ...About the Role: Join HomeWell Care Services as a Home Care Manager and play a vital role in enhancing the quality of life for our...  ...Proficient in using care management software and Microsoft Office Suite. Strong problem-solving skills and a proactive approach...