CENTRA CARE - PROVIDER CREDENTIALING COORDINATOR - MAITLAND in Maitland, FL at Centra Care

Date Posted: 9/16/2018

Job Snapshot

  • Job Schedule
    Full-Time
  • Location:
    Maitland, FL
  • Job Category
  • Date Posted:
    9/16/2018
  • Job ID:
    270060
  • Job Function
    Patient Financial Services
  • Travel
    No
  • Shift
    Day
  • AHS Zone
    2-Legacy System
  • Organization
    Centra Care

Job Description

Welcome to Centra Care! 


We invite you to become a part of our leading team providing urgent medical care for the Central  Florida & Tampa Bay areas.

We are now recruiting for a Provider Credentialing Coordinator for Physician Services.


GENERAL SUMMARY:

Under general supervision, position provides technical and clerical support to facilitate effective and efficient operation of the provider credentialing and contracting functions for multi region facilities.  

  • Maintains provider profiling system and communicates with providers via phone, email, and mail regarding credentialing status and information at regular intervals. 
  • Coordinates verification review process for all contracted physicians, nurse practitioners and physician assistants including an initial review of credentials.  Initiates the process for ensuring malpractice coverage for all contracted providers.  
  • Follows process and procedures for current credentialing standards and compliance with regulatory agencies.  
  • Facilitates new provider on boarding, orientation and training schedule.  Supports the physician recruitment process by seamlessly coordinating the credentialing process from offer to on boarding.  
  • Also responsible for facility credentialing, Medicare/Medicaid and managed care credentialing process.  Position is also responsible for coordination of locum’s placement for coverage, computer access and credentialing requirements.   
  • Facility credentialing – responsible for facilitating managed care credentialing for all clinics and service lines (Urgent Care and/or Total Health Management).  Enrolls facility in Medicare and Medicaid as applicable, obtains NPI number and general liability insurance.
  • E Care Credentialing – assists with obtaining necessary documentation for multistate licensure requirements.
  • Provider On Boarding - Facilitates new hire paperwork, uniforms, badge, and facilitates appropriate system(s) access.  Facilitates orientation and training schedule. 
  • Position is also responsible for coordination of locum’s providers onboarding and credentialing requirements. 
  • Works directly with patient financial services team to resolve billing issues and provide update on credentialing status(s) for claims processing.


KNOWLEDGE AND SKILLS REQUIRED:


•         Knowledge of governmental regulations and compliance requirements; current credentialing standards


•         Knowledge of standard human resources principles and practices


•         Proficient computer software, programs and application skills


•         Maintains confidentiality, uses discretion and adheres to all corporate, legal and regulatory guidelines.


•         Self-motivated with flexibility to multitask and prioritize in a stressful, fast paced environment; ability to work independently


•         Communicates and interacts effectively and professionally with diverse populations individually or as a team in both verbal and written communications.


•         Resolves issues with minimal direction or guidance


•         Ability to meet ever changing and multiple deadlines, managing day to day work flow effectively

KNOWLEDGE AND SKILLS PREFERRED:


•         Previous experience with Medicare, Medicaid and Managed Care processes

EDUCATION AND EXPERIENCE REQUIRED:


•         Associates Degree or equivalent education/experience


•         1-3 years previous credentialing/managed care experience



Position Location:  
Job:  Patient Financial Services
Organization:  Centra Care
Primary Location:  US-FL-Maitland
Schedule:  Full-time
Shift:  Day
Job Level:  Staff / Associate
Education Level:  Associate's Degree
Travel:  No
Job Posting:  Aug 16, 2018, 9:02:27 AM

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