Enrollment Specialist

3 weeks ago

Nashville, United States OneOncology Full time

OneOncology is positioning community oncologists to drive the future of cancer care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer. Our team is bringing together leaders to the market place to help drive OneOncology's mission and vision.

Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of community oncologists and the patients they serve.

Job Description:

The Enrollment Specialist will report to OneOncology's Credentialing Supervisor. The enrollment specialist is responsible for all aspects of the privileging and credentialing process for physicians and allied health professionals. The Specialist will process applications, verify information, research application details, and assure processes are in accordance with medial staff procedures. The specialists will provide consistent, accurate, and timely credentialing support, enhancing the organization's ability to provide professional services. Work includes the accurate, timely and documented verification of the information provided by the application and maintenance of the highly confidential credentialing related files.

Responsibilities

  • Credentialing and re-credentialing of physicians and advanced practice providers.
  • Completion, submission and tracking of credentialing applications with all managed care organizations and hospitals.
  • Apply for and validate hospital privileges.
  • Obtain malpractice insurance policy.
  • Notification to staff of completion of credentialing for scheduling and billing.
  • Maintain and update CAQH online credentialing application for all providers quarterly. Database management/provider files.
  • Maintain vital provider credentialing information via technology tool and hard copies of documents in provider files stored on OneOncology platform.
  • Tracking and maintaining all clinical licenses for nursing, pharmacy, and lab personnel.
  • Provider continuing education
  • Track continuing education credits for all providers.
  • Notify providers of any deficiencies.
  • Submit documentation if providers are audited.
  • Termination of physician and/or allied health professional.
  • Contact all MCO/hospitals/EMR to remove provider who has left practice, within 30 days of termination.
  • Other tasks as assigned to drive our mission of improving the lives of everyone living with cancer.
Key Competencies
  • Experience working with NCQA criteria and third-party payer regulations.
  • Experience with completing hospital credentialing applications.
  • Proficient with MS Office Suite (word, excel) and web-based applications.
  • Ability to maintain verbal and written communications in a confidential manner.
  • Detail oriented with strong organizational skills.
  • Excellent interpersonal skills - team player who can prioritize multiple responsibilities, manage a large workload within tight deadlines - works well under pressure and consistently meets deadlines, readily adapts to change, and excels in a productivity-based environment.
  • Demonstrates research and problem-solving skills.
Qualifications
  • Current working knowledge of enrollment processes with California payors, Commercial and Government.
  • High school diploma and 2+ years of related experience.
  • Bachelor's degree preferred.
  • Industry experience leading credentialing activities in large provider practice (or multiple practices) is required.
  • Certifications preferred but not required.
  • Working remote with Travel flexibility as needed.
  • Working Pacific Standard Time hours.


#LI-AN1

#LI-REMOTE

  • Student Enrollment Specialist

    1 week ago

    Nashville, Tennessee, United States Insight Global Full time

    The Student Enrollment Specialist role is a dynamic opportunity to drive student recruitment and enrollment at Insight Global. This critical position involves managing the entire candidate journey from initial inquiry to successful onboarding. The ideal candidate will possess excellent communication skills, with the ability to build strong relationships with...

  • Direct Market Manager

    4 months ago

    Nashville, United States ThinkTank Full time

    ThinkTank Telecom, LLC is actively seeking a motivated and entrepreneurial Direct Market Manager to lead our expansion efforts in Nashville, TN. As the cornerstone of our mission to enhance connectivity, your role will focus on enrolling new customers into Lifeline and ACP services, managing inventory, and driving significant sales performance in your...

  • Direct Market Manager

    6 months ago

    Nashville, United States ThinkTank Full time

    ThinkTank Telecom, LLC is actively seeking a motivated and entrepreneurial Direct Market Manager to lead our expansion efforts in Nashville, TN. As the cornerstone of our mission to enhance connectivity, your role will focus on enrolling new customers into Lifeline and ACP services, managing inventory, and driving significant sales performance in your...

  • Senior Licensure

    3 weeks ago

    Nashville, United States AmSurg LLC Full time

    Job DescriptionJob DescriptionSenior Licensure & Certification SpecialistRemote-Centric HybridAMSURG is a nationally recognized leader in the strategic and operational management of ambulatory surgery centers with medical specialties ranging from gastroenterology to ophthalmology and orthopedics. With more than 250 surgery centers across the U.S., we partner...

  • Entry Level Sales

    7 days ago

    Nashville, United States Benz Consulting Group Full time

    Company Overview: Join our dynamic team of healthcare coverage specialists committed to improving access to premier healthcare solutions for individuals and families across the country.Are you ready to apply Make sure you understand all the responsibilities and tasks associated with this role before proceeding.Embrace the role of Entry Level Sales and play a...

  • Site Security Specialist

    1 day ago

    Nashville, Tennessee, United States Allied Universal Full time

    Company Overview:Allied Universal is a leading provider of security solutions, committed to delivering exceptional service and ensuring the safety of our clients and their assets.Job Summary:We are seeking a highly skilled Site Security Specialist to join our team in Anti, TN. As a Site Security Specialist, you will be responsible for providing top-notch...

  • Nurses Middle College Nashville | Director of Business Operations | nashville, tn

    4 days ago

    nashville, United States Nurses Middle College Nashville Full time

    GENERAL RESPONSIBILITY: To manage and improve all business operations, including managing processes for payroll, purchasing, account coding, human resources, inventory, meal program and IT.  The Director of Business Operations, under the direct supervision of the Executive Director and in cooperation with the NursesMC CMO, is responsible for working with...

  • Nurses Middle College Nashville | Director of Business Operations | nashville, tn

    5 days ago

    nashville, United States Nurses Middle College Nashville Full time

    GENERAL RESPONSIBILITY: To manage and improve all business operations, including managing processes for payroll, purchasing, account coding, human resources, inventory, meal program and IT.  The Director of Business Operations, under the direct supervision of the Executive Director and in cooperation with the NursesMC CMO, is responsible for working with...

  • Director of Business Operations

    5 days ago

    Nashville, United States Nurses Middle College Nashville Full time

    GENERAL RESPONSIBILITY: To manage and improve all business operations, including managing processes for payroll, purchasing, account coding, human resources, inventory, meal program and IT.  The Director of Business Operations, under the direct supervision of the Executive Director and in cooperation with the NursesMC CMO, is responsible for working with...

  • Nurses Middle College Nashville | Director of Business Operations | nashville, tn

    2 days ago

    nashville, United States Nurses Middle College Nashville Full time

    GENERAL RESPONSIBILITY: To manage and improve all business operations, including managing processes for payroll, purchasing, account coding, human resources, inventory, meal program and IT. The Director of Business Operations, under the direct supervision of the Executive Director and in cooperation with the NursesMC CMO, is responsible for working with the...

  • Nurses Middle College Nashville | Director of Business Operations | nashville, tn

    2 days ago

    nashville, United States Nurses Middle College Nashville Full time

    GENERAL RESPONSIBILITY: To manage and improve all business operations, including managing processes for payroll, purchasing, account coding, human resources, inventory, meal program and IT. The Director of Business Operations, under the direct supervision of the Executive Director and in cooperation with the NursesMC CMO, is responsible for working with the...

  • Director of Business Operations

    2 days ago

    Nashville, United States Nurses Middle College Nashville Full time

    GENERAL RESPONSIBILITY: To manage and improve all business operations, including managing processes for payroll, purchasing, account coding, human resources, inventory, meal program and IT. The Director of Business Operations, under the direct supervision of the Executive Director and in cooperation with the NursesMC CMO, is responsible for working with the...

  • Research Nurse

    3 weeks ago

    Nashville, United States Tennessee Oncology Full time

    Tennessee Oncology, one of the nation's largest, community-based cancer care specialists, is home to one of the leading clinical trial networks in the country. Established 1976 in Nashville, Tennessee Oncology's mission remains unchanged: To provide access to high-quality cancer care and the expertise of clinical research for all patients, at convenient...

  • Specialist Accounts Payable II

    3 weeks ago

    Nashville, United States AmSurg LLC Full time

    Job DescriptionJob DescriptionSpecialist Accounts Payable II Vendor MaintenanceRemote-Centric Hybrid, Nashville, TNAMSURG is a nationally recognized leader in the strategic and operational management of ambulatory surgery centers with medical specialties ranging from gastroenterology to ophthalmology and orthopedics. With more than 250 surgery centers across...

  • Bird Specialist I

    2 months ago

    Nashville, United States RentokilNorthAmerica Full time

    Job DescriptionJob DescriptionBenefits Start Day 1 for Full-Time Colleagues - No Waiting Period!For more information about our benefits, see below!We are proud to be a member of the Rentokil family of companies, the global leader in Pest Control and other services across more than 90 countries. We pride ourselves on being a trusted partner to many of the...

  • Service Center

    7 days ago

    Nashville, United States The Tennessee Board of Regents Full time

    Title: Service Center - Academic Records Associate, Student Services Employee Classification: Clerical & Secretarial Institution: System Office Department: Service Center, Student Services Campus Location: Tennessee Board of Regents System Office Job Summary The Service Center at the Tennessee Board of Regents (TBR) supports the System Office and Technical...

  • Travel Registered Nurse RN Psychiatric

    2 months ago

    Nashville, United States OneStaffMedical Full time

    Job DescriptionJob DescriptionWe. Are. OneStaff. Medical. An independently-owned, nationally-recognized and amazingly awesome staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by your side and help you find your dream assignment anywhere in this great country. We want the same like-minded, awesome candidates to...

  • RN | CVOR | First Assist

    2 months ago

    Nashville, United States OneStaffMedical Full time

    Job DescriptionJob DescriptionWe. Are. OneStaff. Medical. An independently-owned, nationally-recognized and amazingly awesome staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by your side and help you find your dream assignment anywhere in this great country. We want the same like-minded, awesome candidates to...

  • Travel Registered Nurse RN Long Term Acute Care LTAC

    2 weeks ago

    Nashville, United States OneStaffMedical Full time

    We. Are. OneStaff. Medical. An independently-owned, nationally-recognized and amazingly awesome staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by your side and help you find your dream assignment anywhere in this great country. We want the same like-minded, awesome candidates to travel with us. Be bold....

  • Travel Registered Nurse RN Intensive Care Unit ICU

    2 weeks ago

    Nashville, United States OneStaffMedical Full time

    We. Are. OneStaff. Medical. An independently-owned, nationally-recognized and amazingly awesome staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by your side and help you find your dream assignment anywhere in this great country. We want the same like-minded, awesome candidates to travel with us. Be bold....