Credentialing Specialist

LE0020 Orlando Family Physicians, LLC It's fun to work in a company where people truly BELIEVE in what they're doing! We're committed to bringing passion and customer focus to the business. Job Summary: Assisting medical professionals by verifying licensing, their training, schooling. Making sure they meet the Federal and State and NCQA standards and requirements of their profession. Filing payor’s applications, making the changes for licenses and certificates for the new providers files and assisting on the Updates of various web sites. Responsibilities: 1. Assist to change Medical Licenses and DEA Certificates of newly hired Providers. 2. Assist Updating the CVs, gathering all the demographics for the Provider Information forms. 3. Verifying licensure, certificates and training of medical providers. 4. Gathering the components of a Credentialing Package for the new Providers. 5. Initiating CAQH files ready for new providers National credentialing files. 6. Assist on the constant updating of the CAQH and Healthgrades various other Web sites. 7. Assist redacting Introduction letters and training for our new providers and their State and National guidelines. 8. Processing payors applications for the newly hired providers, and the applications for renewals every two to three years for existing providers. 9. Understanding of the different requirements of payors and the way these requirements change. 10. Keeps the “timeline” for provider applications so we can manage a large group of constant pending files. 11. Constant Audits of the work done to assure accuracy and quality. 12. Keeping up with all application status to assure credentialing completeness. 13. Constant communication with the team. 14. Cooperation with all other company teams and their needs for credentialing information. 15. Maintaining open communications with office administrators to ensure the exchange of renewed certificates and licensing. 16. Assist in anything the Credentialing Specialist needs Skills and Specifications • Ability to communicate clearly and effectively verbally and in writing. • Ability to prioritize, multitask and change “mode” as needed. • Excellent Customer Service skills. • Excellent computer skills (Microsoft Word, Excel, and Outlook) • Detail -oriented and highly organized. • Ability to work detailed projects. • Ability to keep sensitive and confidential information guarded. • AA Degree or equivalence. • Certification of National Association of Medical Staff Services or equivalence. • Human Resources Experience. • Office etiquette and Communication skills. • Project Management experience. If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us! The foundation for InnovaCare was laid in 1998 when President and CEO Richard Shinto, M.D., founded North American Medical Management (NAMM) in California. Since then, InnovaCare Health has continuously evolved and innovated to remain at the forefront of healthcare and deliver cutting-edge solutions to our physicians and team members, patients, and their families. Across InnovaCare, we are united by a shared mission, vision, and values. Our growing company strives to make every member of our diverse team feel fulfilled and valued through their work. Our mission is to transform the lives of the people we serve through compassionate, high-quality care, innovative solutions, and trusted partnerships as we vision a new definition of the standard of excellence in healthcare. Today, InnovaCare operates more than 30 clinics and is recognized as a leader in transforming care delivery. Our approach combines physician-led care models with cutting-edge technology and a focus on personalized, coordinated care to empower providers to succeed in some of healthcare's most challenging environments.