An excellent opportunity to join a growing Mergers & Acquisitions Healthcare organization in Denver!!!
This Jobot Job is hosted by: Lauren Lehman
Are you a fit? Easy Apply now by clicking the “Apply” button and sending us your resume.
Salary: $55,000 – $70,000 per year
A bit about us:
We are representing a large healthcare acquisitions organization based out of Denver, CO with a physician-led model.
They empower physicians and their teams to deliver compassionate care to patients with the support they need to build modern, integrated practices.
Come join an amazing organization with the opportunity for upward growth!
Why join us?
- 100% Paid by Company Benefits Package!
- Accelerated Career Growth!
- Fun Company Activities!
- Great Coworkers!
- Flexible Hybrid / Remote Work Schedule!
Job Details
Responsibilities:
- Completion of provider credentialing and re-credentialing applications
- Data entry of new applications
- Maintain a working knowledge of the NCQA standards and state and federal regulations related to credentialing
- Collect all required documents for credentialing completion
- Maintain credentialing database to ensure up to date information is obtained at all times.
- Responsible for monitoring and managing credentialing/re-credentialing requirements and to ensure the collection of all required renewal certifications are on file within the required time frame
- Provide consistent and timely follow up on all outstanding credentialing/re-credentialing files
- Prepare and save credentialing/re-credentialing files and other credentialing documentation into provider credential folders
- Answer credentialing calls and provide support for all credentialing related questions
- Process changes ensuring appropriate documentation has been submitted with changes, update credentialing database and notify health plans of changes
- Process provider network terminations, specialty/category changes, LOA requests
- Audit disciplinary reports, OIG reports, and other reports as required and initiate formal complaint procedure when applicable
- Assist with credentialing audits
- Cross train to support credentialing operations (providing back up support when away)
- Comply with HIPAA and Corporate Compliance policies
Qualifications:
- High school diploma/GED required
- Credentialing experience required
- College degree preferred
- CAQH database knowledge preferred
- Knowledge of credentialing accreditation regulations, policies and procedure, and NCQA standards preferred
- Health plan experience is preferred
- Exceptional communication skills required
- Exceptional organizational skills required
Interested in hearing more? Easy Apply now by clicking the “Apply” button.
Source: Monster.com
Click Here To Apply
