What are the responsibilities and job description for the Medical Credentialing Specialist position at United Management Organization, LLC.?
Job Overview
The Medical Credentialing Specialist is responsible for all phases of credentialing of both interpreting physicians and technologists as well as the upkeep and maintenance of technologist and physician documentation.
Responsibilities:
- Initiate, coordinate, maintain facility credentialing for all United Interpreting physicians (IP’s) and IOM Technologists
- Licensure, renewal, and maintenance of all state licenses for United interpreting physicians
- Maintain active status of 3rd party vendor sites (e.g. VendorMate, etc.) regarding facility on-site access for all United technologists (implement USMON tracking and notification process)
- Implement quality, efficiency, and improvement measures for assigned responsibilities
- Collaborate with United Sales and Clinical Teams to ensure efficiency of onboarding new facilities as needed
- Collaborate with the Insurance Credentialing Specialist as needed
- Ensure compliance standards, requirements and regulations are achieved and maintained according to respective governing bodies (i.e. The Joint Commission, State Medical Boards, etc.)
- Serve as Point of Contact for all contracted IP groups and individuals as it pertains to credentialing, licensing and facility onboard
- Other duties as assigned by management
Qualifications
- Bachelor’s degree preferred
- Two years’ experience with Health/Medical credentialing and or contracting required
- Excellent Interpersonal and organizational skills
- Effective oral and written communication skills
- Computer proficient in database management and Microsoft Office
- Resourceful, highly dependable process driven and detail oriented
- Proven experience in managed care or healthcare administration with a focus on medical credentialing or payer enrollment
- Strong knowledge of health insurance processes, CMS regulations, state healthcare laws, and accreditation standards such as JCAHO preferred
Pay: $25.00 - $30.00 per hour
Expected hours: 40.0 per week
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Application Question(s):
- Are you available to work Monday through Friday 8:30 AM to 5:00 PM?
Education:
- Bachelor's (Preferred)
Experience:
- medical credentialing: 2 years (Preferred)
Ability to Commute:
- Melville, NY 11747 (Preferred)
Work Location: In person
Salary : $25 - $30