BPN CREDENTIALING SPECIALIST
3 weeks ago
The BPN Credentialing Specialist is responsible for credentialing the Bryan Physician Network physicians and advanced practice providers, keeping their hospital and clinic privileges current, and maintaining current applications for managed care and commercial insurance contracts.
PRINCIPAL JOB FUNCTIONS:
1. *Commits to the mission, vision and beliefs of Bryan Health and consistently demonstrates our core values.
2. *Keeps the licenses, certificates and Drug Enforcement Agency's (DEA) compliance documentation current for the Clinic physicians and advanced practice providers.
3. *Completes new and renewal applications for privileges at various hospitals and clinics for the Clinic's physicians and advanced practice providers.
4. *Completes new and renewal applications for various managed care and commercial healthcare insurance contracts.
5. *Assists in the preparation of the applications and renewal of professional liability insurance for the Clinic's physicians and advanced practice providers.
6. Responsible for loading and updating the referring physicians in the practice's database.
7. Assists the billing department with interoffice mail duty and telephone backup when needed.
8. Performs other related projects and duties as assigned.
(Essential Job functions are marked with an asterisk *. Refer to the Job Description Guide for the definition of essential and non-essential job functions.) Attach Addendum for positions with slightly different roles or work-specific differences as needed.
REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:
1. Knowledge of Clinic policies and procedures.
2. Knowledge of managed care and commercial healthcare insurance contract renewal procedures.
3. Knowledge of professional liability insurance renewal procedures.
4. Knowledge of healthcare provider licensing, certification, credentialing and DEA compliance requirements and procedures.
5. Knowledge of HIPAA compliance procedures.
6. Knowledge of computer word processing and spreadsheet applications.
7. Knowledge of Corporate compliance plan.
8. Skill in using office equipment and computer applications.
9. Skill in written and verbal communications and customer relations.
10. Ability to gather reporting information regarding licensure, certification, credentialing and compliance.
11. Ability to communicate clearly in person and on the phone.
12. Ability to establish and maintain cooperative relationships with physicians, other clinic staff and outside professionals and agencies.
13. Ability to organize and prioritize tasks effectively.
14. Ability to read, understand and follow oral and written instructions.
15. Ability to concentrate and pay close attention to detail.
16. Ability to maintain the strictest confidentiality.
17. Ability to maintain regular and punctual attendance.
EDUCATION AND EXPERIENCE:
High school diploma or equivalent. Some post-high school education is preferred. Minimum of one (1) year secretarial experience in a medical office setting preferred.
-
Credentialing Specialist
1 week ago
Lincoln, United States Unavailable Full timeOverview This Part Time position is onsite at St. Elizabeth in Lincoln, NE **LOCAL CANDIDATES ONLY Job Summary / Purpose Responsible for coordinating, monitoring, and maintaining the credentialing and re-credentialing process. Facilitates all aspects of CHI Health System credentialing and CHI Health Credentialing Verification Organization. This includes...
-
Credentialing Specialist
2 weeks ago
Lincoln, United States Chi Full timeOverview This Part Time position is onsite at St. Elizabeth in Lincoln, NE **LOCAL CANDIDATES ONLY Job Summary / Purpose Responsible for coordinating, monitoring, and maintaining the credentialing and re-credentialing process. Facilitates all aspects of CHI Health System credentialing and CHI Health Credentialing Verification Organization. This includes...
-
CREDENTIALING SPECIALIST
1 week ago
100 Clinton St, Camden, NJ 08103, USA, United States Cooper University Health Care Full timeAbout us At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to its employees by providing...
-
BH Credentialing Specialist
4 weeks ago
Lincoln, United States Bryan Health Full timeGENERAL SUMMARY:Ensures all requirements, based upon federal and state regulations, for physicians and advanced practicing providers are obtained/met to compliantly practice medicine within the scope of their licensure and specialty. In addition, ensures medical staff appointments are secured and remain current at Bryan Medical Centers, additional Bryan...
-
BPN Psychiatry Advanced Practitioner
5 days ago
Lincoln, United States BryanLGH Medical Center Full timeProvides nursing and medical services to assigned psychiatric patients who have a mental disorder/illness according to the Scope of Practice for Nurse Practitioners as identified by the American Academy of Nurse Practitioners, OR as a Physician Assistant provides psychiatric care and performs selective medical services under the direction of the supervising...
-
BPN Psychiatry Advanced Practitioner
5 days ago
Lincoln, United States Bryan Health Full timeProvides nursing and medical services to assigned psychiatric patients who have a mental disorder/illness according to the Scope of Practice for Nurse Practitioners as identified by the American Academy of Nurse Practitioners, OR as a Physician Assistant provides psychiatric care and performs selective medical services under the direction of the supervising...
-
Lincoln, United States Bryan Health Full timeGENERAL SUMMARY: The BPN Certified Medical Assistant assists physicians with examinations and procedures to serve the medical needs of patients with various health conditions in a professional, confidential, and caring manner. Coordinates the flow of patients, phone calls, lab work, and nurse visits to facilitate quality patient care and customer service...
-
Lincoln, United States BryanLGH Medical Center Full timeAre you a reliable, hardworking individual who thrive in a fast-paced environment? As a Radiology Technologist, are you looking for opportunities to work side by side with clinic staff and providers to deliver patient-centered care to our community? Join our team at one of our Bryan Health Urgent Care Clinics as a Radiology Technologist!# Come be a part of a...
-
Lincoln, United States BryanLGH Medical Center Full timeAre you a reliable, hardworking individual who thrive in a fast-paced environment? As a Radiology Technologist, are you looking for opportunities to work side by side with clinic staff and providers to deliver patient-centered care to our community? Join our team at one of our Bryan Health Urgent Care Clinics as a Radiology Technologist!# Come be a part of a...
-
Lincoln, United States Bryan Health Full timeAre you a reliable, hardworking individual who thrive in a fast-paced environment?As a Radiology Technologist, are you looking for opportunities to work side by side with clinic staff and providers to deliver patient-centered care to our community?Join our team at one of our Bryan Health Urgent Care Clinics as a Radiology Technologist! Come be a part of a...
-
Lincoln, United States Bryan Health Full timeAre you a reliable, hardworking individual who thrive in a fast-paced environment?As a Radiology Technologist, are you looking for opportunities to work side by side with clinic staff and providers to deliver patient-centered care to our community?Join our team at one of our Bryan Health Urgent Care Clinics as a Radiology Technologist! Come be a part of a...
-
Billing Specialist
4 days ago
Lincoln, United States The Bridge Behavioral Health Full timeJob DescriptionJob DescriptionSalary: $18-$23 per hourThe Bridge Behavioral Health is dedicated to providing compassionate and comprehensive care to our clients. We prioritize creating a welcoming and safe environment for all individuals, fostering healing and growth. As a Billing Specialist with our team, you'll play a vital role in maintaining...
-
Quality Specialist
1 week ago
Lincoln, United States Elwyn Full timeSince 1852, Elwyn has helped people with autism, intellectual, developmental, and behavioral challenges lead meaningful lives. As an internationally recognized nonprofit human services organization, we have always been on the forefront of innovation.Please join us to make a difference in the life quality of children, teens and adults with autism,...
-
CARDIAC SONOGRAPHER
2 weeks ago
Jasper, TX 75951, USA, United States Advanced Cardiovascular Specialist Full timeRelocation assistance offered! Echo/Vascular TechnicianPosition: Requires considerable technical ability, experience and judgement to perform cardiovascular ultrasound and evaluate the quality of data for Cardiologist interpretation. Must have substantial knowledge and understanding of cardiovascular disease, dynamics of blood flow, doppler...
-
Lead Preschool Teaching Specialist
2 months ago
Lincoln, United States KIDS 'R' KIDS Learning Academy of SOUTHERN HILLS Full timeJob DescriptionJob DescriptionBenefits:3+ years experienceHolds a High School Diploma or GED with 1500 Verified hours workedHave a Child Development Associates Credential or working towards itHold a Associates or Bachelors in Early Child Hood Education18+ Years Old401(k)Flexible schedulePaid time offParental leave We are looking for someone who would be...
-
FULL TIME SUPERVISION SPECIALIST
2 weeks ago
Greenville, SC 29601, USA, United States Alston Wilkes Society Full timeLevel: EntryJob Location: Greenville Residential Reentry Center - Greenville, SCPosition Type: Full-Time/Part-TimeEducation Level: High SchoolSalary Range: $16.20 - $22.00 HourlyTravel Percentage: NoneJob Shift: SwingJob Category: Government - FederalDescription:GENERAL DESCRIPTIONThe Supervision Specialist, under the direction and supervision of...
-
Physical Therapy Assistant in Illinois
4 weeks ago
Lincoln, United States AB Staffing Full timePhysical Therapy Assistant - Lincoln, IL 62656 Are you ready to explore new places while building your resume? At AB Staffing, we specialize in placing Allied Health providers in facilities throughout the United States. Our travel assignments range from three (3) months to one year, and can be added onto another assignment or area, giving you the opportunity...
-
School Age Summer Camp Education Specialist
1 month ago
Lincoln, United States KIDS 'R' KIDS Learning Academy of SOUTHERN HILLS Full timeJob DescriptionJob DescriptionBenefits:401(k) matchingEmployee discountsHealth insurancePaid time offParental leave We are looking for someone who would be interested in a split shift with our before and after school kiddos, and a full-time 8 hr shift in summer. You would be the person to give them energy in the mornings, preparing them for an awesome day of...
-
Athletic Trainer-Certified
2 months ago
Lincoln, United States Bryan Health Full timeGENERAL SUMMARY: Will provide AT services for Crete School district, primarily at Crete High School, Crete, NE. The Athletic Trainer-Certified provides athletic training services to student athletes under the direction of the team physician or by written referral from a physician, and in accordance with the state athletic training practice act.Monitors...
-
Sleep Technologist
4 weeks ago
Lincoln, United States BryanLGH Medical Center Full timeGENERAL SUMMARY: Works under medical supervision to perform and evaluate sleep testing. Functions independently to safely operate sophisticated medical equipment, monitor and score sleep wake physiology, recognize sleep physiology when it occurs, and respond with the appropriate interventions to ensure patient safety and quality recordings. # Provides sleep...