What are the responsibilities and job description for the Part-time Credentialing Specialist position at Urologic Specialists?
Job Title: Credentialing Specialists/Payor Enrollment
Location: Remote, on-site as needed
Position Type: Part-time (15-25 hours per week)
Job Summary:
Urologic Specialists is seeking a detail-oriented and highly organized individual to join our growing practice. The successful candidate will be responsible for supporting the Credentialing Manager and assisting with payor enrollment, payor site/portal validations, license renewals, hospital initial and reappointment applications and various other credentialing duties.
Key Responsibilities:
· Assist with initial and revalidation applications for Medicare, Medicaid and other payors such as BCBS, MultiPlan, etc.
· Assist in maintaining and updating provider profiles electronically in CAQH, PECOS, NPPES, Availity, Multiplan and others
· Assist with hospital initial and reappointment applications for affiliated facilities
· Gather and maintain CME records
· Gather and maintain annual TB and Flu records
· Assist with tracking expirables (licenses, certifications, malpractice insurance, etc.) and alert providers of upcoming deadlines
· Communicate with providers, payors and staff in a professional and timely manner
· Ensure compliance with all applicable regulatory, hospital and insurance guidelines
· Work collaboratively with the Credentialing Manager and Administrative team to support onboarding efforts of new providers
· Maintain confidentiality and ensure compliance with HIPAA and other regulatory requirements
· Responds in a timely manner to Physicians, Staff or Client requests
Qualifications:
· High school diploma or equivalent
· Minimum 1-2 years of credentialing or payor enrollment experience in a medical practice or hospital setting preferred
· Experience with CAQH, PECOS, NPPES and insurance preferred
· Strong communication and organizational skills
· Must be task orientated with attention to detail
· Proficient with Microsoft Office (Word, Excel, Outlook) and Adobe
Job Type: Part-time
Pay: $18.00 - $25.00 per hour
Expected hours: 15 – 25 per week
Work Location: Hybrid remote in Tulsa, OK 74146
Salary : $18 - $25