Confidential Posting
This is an excellent opportunity to work with a team-oriented, goal-driven, employee focused company!
As the Credentialing & Enrollment Coordinator you will research and obtain verification of physician's and physician extender's medical experience, professional references, state licensure, DEA, medical education and institutional affiliations, as well as ensure completion of billing paperwork for each provider.
ESSENTIAL FUNCTIONS:
Prepare and send physician files to client hospitals, maintain current documentation, update database, research and obtain verifications. Process billing paperwork for providers.
OTHER RESPONSIBILITIES:
Establish clients needs and expectations to ensure solid working relationship with each client
Identify and request missing documentation for new files
Identify and request expired documents on a monthly basis
Mail out verification letters and follow up to ensure timely return
Input new physicians and updated documentation into credentialing database
Send completed credentialing files to hospitals and follow up
Contain and minimize general and administrative costs
Attend monthly meetings with billing company
Function as a liaison between our company and the billing company
Provide VP and Operations Manager with a monthly credentialing and enrollment report
Assist scheduling, recruiting and other internal departments as needed
Share in on-call rotation for after-hours emergencies
Travel as needed to establish relationships and obtain paperwork
QUALIFICATIONS/EXPERIENCE:
Experience/Abilities:
Two or more years of credentialing experience and physician relations strongly desired; knowledge of billing and enrollment functions is a plus
Credentialing certification (CPCS) or equivalent is preferred
Must possess excellent oral, written, communication, relationship and organizational skills
Must be detail oriented and able to multi-task in a team oriented, time-sensitive environment.
Ability to function under stressfull situations and deadlines and demonstrate solid judgement
Mst be a team player
High Degree of confidence and ablility to interact eith all levels of the company
Ability to balance team and individual responsibilities
Up to 25% travel
EOE