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Credentialing Specialist

4 months ago

Tempe, United States American Vision Partners Full time
Company Intro

At American Vision Partners (AVP), we partner with the most respected ophthalmology practices in the country and integrate best-in-class management systems, operational infrastructure, and advanced technology to provide the highest quality patient care possible. Our practices include Barnet Dulaney Perkins Eye Center, Southwestern Eye Center, Retinal Consultants of Arizona, M&M Eye Institute, Abrams Eye Institute, Southwest Eye Institute, Aiello Eye Institute, Moretsky Cassidy Vision Correction, Wellish Vision Institute, West Texas Eye Associates and Vantage Eye Center. We are focused on building the nation's largest and most comprehensive eye care practices and currently operate more than 100 eye care centers in Arizona, New Mexico, Nevada, California and Texas - including 25 ambulatory surgical centers.

At AVP we value teamwork, providing exceptional experiences, continuous improvement, financial strength, and hard work. We are committed to providing best-in-class patient care, pioneering research and technology, and most importantly, rewarding and recognizing our employees

Overview

As a Credentialing Specialist, you'll be responsible for the processing of individual provider privileges for all providers at the AVP ambulatory surgery centers and clinics.

Responsibilities

  • Assists with initial and reappointment of privileges for medical staff, and allied healthcare professionals at AVP ambulatory surgery centers and clinics.
  • Performs primary source verification of all components of the providers and facilities.
  • Prepares provider files for Peer Review and MEC approvals.
  • Keeps up-to-date, tracks expirations of all provider licenses, certifications as well as annual and seasonal immunization records.
  • Keeps up-to-date, tracks expirations of premium services registrations (e.g., provider and location dispensing licenses & registrations)
  • Ensures compliance with applicable laws and regulations of AAAHC, state and federal government agencies.
  • Assists with maintaining an accurate credentialing database.
  • Maintains accurate document filing in appropriate provider and facility folders.
  • Assists with state and other agency surveys.
  • Assists with managing initial and annual provider training.
  • Performs miscellaneous job-related duties as assigned.
Qualifications
  • High school diploma or GED required
  • 1 year minimum experience directly related to healthcare medical staff credentialing
  • Credentialing Data Base (ECHO) or equivalent
  • Computer background (Word, Excel, Adobe & Microsoft Outlook)
  • Ability to communicate effectively both verbally and in writing.
  • Ability to use independent judgment to manage confidential information.
  • Database management skills including accurate data entry and document generation.
  • Knowledge of general credentialing terminologies.
  • Superior organizational skills.
  • Positive team player.


Benefits & Perks

Your health, happiness and your future matters At AVP, we offer everything medical and dental insurance, significant eye care discounts, child care assistance, pet insurance, continuing education funds, 401(k), paid holidays plus PTO, Sick Time, opportunity for growth, and much more