CityMD

Credentialing Specialist

US-NY-Uniondale (Long Island)
ID
2017-1432
Category
Other

Overview

The Credentialing Specialist supports the Credentialing Manager in credentialing all practice locations as well as our clinicians. The Credentialing Specialist is also responsible for maintaining accurate records, up to date licensing information for physicians/sites,as well as obtaining required certifications for site readiness.

 

Responsibilities

A Credentialing Specialist is responsible for:

  • Obtaining all pertinent provider/location(s) documents and data
  • Primary Source Verifications for physicians
  • Maintaining credentials for physicians,x ray technicians, & practice locations
  • Perform audits to ensure credentials are up to date to prevent any lapses in coverage
  • Processing of applications with payors, state licensing boards, Federal DEA
  • Processing of payor applications for practice locations
  • Ensure all applications are processed/submitted completely and in a timely manner
  • Maintain CAQH/One Health Port database(s) for providers and groups
  • Enrolling physicians with Medicare/Medicaid program(s)
  • Providing payors with provider/practice maintenance information rosters
  • Assist with out of state license applications for CityMD expansion
  • Inputting providers into EMR system and creating accounts
  • Obtaining EPCS accounts for our providers (EScribing)
  • Order prescription pads for practice locations
  • Meaningful Use Registration/Attestation  

Qualifications

A candidate’s qualifications will include:

  • High School Diploma or equivalent required
  • 1-3 Years of credentialing experience in healthcare (managed care setting preferred)
  • Excellent verbal, written, and interpersonal communication skills
  • Detail-oriented, strong organizational skills and a team player who takes initiative
  • Computer Proficiency (including Microsoft Suite) and superior keyboarding skills (approximately 55 wpm)
  • Possesses a customer-centric, welcoming, can-do attitude
  • Flexible/adaptable nature to work in a continuously evolving environment
  • Must exhibit passion for outstanding results and compassion for those we work with and serve
  • Certifications preferred, but not required
  • Ability to effectively interact with physicians, insurance companies and other staff members while maintaining a high level of professionalism
  • Bilingual a plus

 

CityMD is an Equal Opportunity Employer

 

City MD cares about the safety of our employees and applicantsCity MD does not use chat rooms for job searches or communications. City MD will never request personal information via informal chat platforms or unsecure email. City MD will never ask for  money or an exchange of money, banking or other personal information prior to the an in-person interview. Be aware of potential scams while job seeking.  Interviews are conducted at select CITYMD locations during regular business hours only.   For information on job scams, visit, https://www.consumer.ftc.gov/JobScams or file a complaint at https://www.ftccomplaintassistant.gov/.

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