Recent Searches

You haven't searched anything yet.

1 Credentialing Specialist Job in TREDYFFRIN, PA

SET JOB ALERT
Details...
UHS of Delaware, Inc.
TREDYFFRIN, PA | Full Time
7 Months Ago
Credentialing Specialist
Full Time 7 Months Ago
Save

sadSorry! This job is no longer available. Please explore similar jobs listed on the left.

UHS of Delaware, Inc. is Hiring a Credentialing Specialist Near TREDYFFRIN, PA

Responsibilities

Independence Physician Management (IPM), is a subsidiary of Universal Health Services, Inc (UHS). IPM was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics which align with UHS acute care facilities. It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 11 markets across six states and the District of Columbia. Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve.

Position Overview:

The Credentialing Specialist ensures that the credentialing requirements for governmental agencies and commercial managed care insurers/networks are met and managed appropriately and timely so that physicians are enrolled in and maintain active credentialing status with such entities. Also responsible for credentialing, as assigned, to other IPM physician group models. 

Duties and Responsibilities:

  • Submits and follow up on credentialing to all contracted commercial payors and government agencies timely and accurately.
  • Supports other IPM locations with credentialing as needed and maintains close working relations with appropriate contacts to keep them well informed. Maintains appropriate tracking of time and promptly reports it on a weekly basis as established by the Credentialing Department.
  • Enters and maintains data in the credentialing database, Intellisoft, according to established data entry rules and policies. Performs database queries and reports as needed.
  • Ensures that demographic changes to contracted physicians are promptly reported to all contracted managed care companies and governments agencies
  • Maintains managed care contract files (paper and electronic) and department databases for contracts and credentialing
  • Supports other physicians recruited by hospital under a guarantee in efforts to perform credentialing functions as needed and agreed upon by physician and Credentialing Manager.
  • Keeps all internal departments informed of any contracted payor changes that may impact day to day operations.

Qualifications

Requirements:

  • High School Diploma/GED required. Bachelor’s degree preferred, but commensurate work experience in progressively responsible administrative positions will be considered.
  • Comprehensive knowledge of the managed care industry, with specific emphasis on physician credentialing and/or physician contracting requirements.
  • A broad understanding of the managed care contracting process is required and knowledge of managed care payers processes.
  • Responsible for credentialing activities as it relates to initial credentialing, re-credentialing, and credentials modification.

Benefits Highlights:

  • Challenging and rewarding work environment
  • Competitive Compensation & Generous Paid Time Off
  • Excellent Medical, Dental, Vision and Prescription Drug Plans
  • 401(K) with company match and discounted stock plan
  • Tuition Reimbursement after 1 year of employment

If you meet the above requirements and are looking for a rewarding career, please take a moment to share your background with us by applying online. Independence Physician Management offers competitive compensation commensurate with experience and benefit programs including medical, dental, life insurance, and 401(k).

Independence Physician Management is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at IPM via email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of Independence Physician Management. No fee will be paid in the event the candidate is hired as a result of the referral or through other means.

About Universal Health Services

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $12.6 billion in 2021. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 89,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

EEO Statement

 All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success.

 Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852- 3449.

Job Summary

JOB TYPE

Full Time

POST DATE

09/03/2022

EXPIRATION DATE

12/12/2022

WEBSITE

uhsofdelaware.com

HEADQUARTERS

Upper Merion Township, PA

SIZE

<25

Show more

UHS of Delaware, Inc.
Full Time
$45k-55k (estimate)
5 Months Ago
UHS of Delaware, Inc.
Full Time
$43k-53k (estimate)
5 Months Ago

The following is the career advancement route for Credentialing Specialist positions, which can be used as a reference in future career path planning. As a Credentialing Specialist, it can be promoted into senior positions as a Compliance Manager - Healthcare that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Credentialing Specialist. You can explore the career advancement for a Credentialing Specialist below and select your interested title to get hiring information.

taranunam.a@diverselynx.com
Full Time | Contractor
$47k-60k (estimate)
1 Week Ago

If you are interested in becoming a Credentialing Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Credentialing Specialist for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

Quotes from people on Credentialing Specialist job description and responsibilities

A certified professional credentialing specialist ensures that staff members of a facility maintain licenses, training, and certifications based on federal and state law.

03/14/2022: Des Moines, IA

A credentialing specialist can have certificates that will prove useful to their field.

02/01/2022: Newark, NJ

Credentialing specialists also ensure that any services provided by medical facilities meet the required standards as set by state and federal government agencies.

02/21/2022: Evansville, IN

Credentialing specialists are part of an organization's administrative staff; they review medical policies, process contracts, and facilitate audit reports to validate that certified medical professionals comply with credentialing procedures.

02/01/2022: Las Cruces, NM

Credentialing specialists will also ensure that their employer meets state, federal and other regulations for quality of care.

01/18/2022: Pueblo, CO

Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on Credentialing Specialist jobs

Credentialing specialists can often find work with a high school diploma or the equivalent.

01/25/2022: Kingsport, TN

Some employers strongly prefer credentialing specialists who have a Certified Provider Credentialing Specialist (CPCS) credential.

03/01/2022: Parkersburg, WV

While an associate degree may not be required for a position as a credentialing specialist, some employers may prefer applicants with a two-year degree.

12/25/2021: Little Rock, AR

Make Use Of Advanced Software For Monitoring.

01/18/2022: New London, CT

Stay Updated with the Coalition for Affordable Quality Healthcare's Credentialing Program.

01/31/2022: Portsmouth, OH

Step 3: View the best colleges and universities for Credentialing Specialist.

Butler University
Carroll College
Cooper Union
High Point University
Princeton University
Providence College
Show more