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Provider Credentialing Specialist
3 months ago
What You Will Do
As a Credentialing Specialist, you will be responsible for credentialing, re-credentialing and privileging of all applicable medical staff. Also responsible for enrolling providers in all applicable public and private payer organizations.
The Opportunity
- Perform all aspects of the credentialing, re-credentialing and privileging process of applicable medical staff
- Maintain CAQH, PECOS, and NPI registry for all IHTC providers as applicable.
- Create NPDB and AMA reports for each new provider upon hire and annually.
- Maintain copies of current state licenses, CSR and DEA certificates, malpractice coverage and any other required credentialing documents.
- Track license and certification expirations for all providers to ensure timely renewals.
- Coordinate with Billing Manager to ensure all applicable providers are correctly attached to all existing and new contracts.
- Ensure provider demographics are kept updated with all payers.
- Audit health plan directories for current and accurate provider information.
- Maintain knowledge of current health plan and facility requirements for credentialing providers.
- Produce CME reports for all MD’s six times per year and upon request.
- Maintain CME credits for each credentialed provider.
- Communicate with providers via phone, email, face-to-face as needed to obtain information or provide education/follow-up related to credentialing process.
- Maintain confidentiality of provider information.
Requirements
- High school diploma or GED; college degree preferred
- 2 years of credentialing experience preferred
- Valid Indiana Driver’s license and automobile insurance
Benefits
Why join our team?
The IHTC is a not-for-profit program based in Indianapolis and offers a competitive salary and benefit package.
The IHTC is the only federally designated comprehensive hemophilia program in Indiana and serves the entire state through services available in Indianapolis and at outreach clinics.
The IHTC is a leader in hemophilia care, education and clinical research and has a dedicated on-site multidisciplinary staff to ensure availability of a wide range of required services.
The IHTC participates in national and international clinical research, including new infusion products and therapies, investigation of long-term outcomes, and the impact of associated conditions. The IHTC research program provides patients access to new therapies, and an opportunity to improve care. Our center has more than 50 clinical research projects involving bleeding disorders, sickle cell disease, thrombosis and more.
The Indiana Hemophilia and Thrombosis Center is an Equal Opportunity Employer.
