Credentialing Associate

10 hours ago

Nashville, Tennessee, United States Luna Physical Therapy Full time
About Luna Physical Therapy

Luna Physical Therapy is a healthcare technology company that aims to revolutionize the physical therapy experience. We are committed to making a significant clinical impact by leveraging technology and innovation to improve patient care.

Job Description

Job Title: Therapist Credentialing Associate

Job Summary: We are seeking a highly detail-oriented and organized Therapist Credentialing Associate to join our team. The successful candidate will be responsible for evaluating, analyzing, and coordinating all aspects of the credentialing and recredentialing process for healthcare providers.

Key Responsibilities:

  • Reviews and screens initial and reappointment credentialing applications for completeness, accuracy, and compliance with federal, state, and local regulations, guidelines, policies, and standards.
  • Conducts primary source verification, collects and validates documents to ensure accuracy of all credentialing elements; assesses completeness of information and qualifications relative to credentialing standards and Luna criteria.
  • Identifies, analyzes, and resolves extraordinary information, discrepancies, time gaps, and other idiosyncrasies that could adversely impact the ability to credential and enroll practitioners; discovers and conveys problems to the Credentialing Manager.
  • Monitors files to ensure completeness and accuracy; reviews all file documentation for compliance with quality standards, accreditation requirements, and all other relevant policies; prepares and provides information to internal and external customers as appropriate.
  • Enters, updates, and maintains data from provider applications into credentialing databases, focusing on accuracy and interpreting or adapting data to conform to defined data field uses, and in accordance with internal policies and procedures.

Requirements:

  • 1-2 years of experience in customer service, preferably in a healthcare setting.
  • Prior credentialing experience is a plus.
  • A positive, self-starter attitude with pride in work.
  • Proficient in G-Suite and Excel.
  • Coachability, interest in implementing feedback, and dedication to improvement of your craft.
  • 2-year college degree preferred, or relevant experience.

What We Offer:

  • Hybrid work-from-home options after training pending performance.
  • Employee referral program.
  • Medical, dental, and 401(k) benefits.
  • Enormous opportunity to grow with a startup well-positioned for tremendous upside and career trajectory.

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