Oncology Operations Specialist

7 days ago


Nashville, Tennessee, United States OneOncology Full time

OneOncology is a leading company in the field of cancer care, aiming to improve the lives of everyone living with cancer. We are looking for an Enrollment Specialist who will play a crucial role in our mission by ensuring seamless credentialing and privileging processes for physicians and allied health professionals.

Job Overview

As an Enrollment Specialist at OneOncology, you will be responsible for managing all aspects of the privileging and credentialing process. This includes processing applications, verifying information, researching application details, and ensuring that processes comply with medical staff procedures.

Key responsibilities include:

  • Credentialing and re-credentialing of physicians and advanced practice providers;
  • Completion, submission, and tracking of credentialing applications with managed care organizations and hospitals;
  • Applying for and validating hospital privileges;
  • Obtaining malpractice insurance policy;
  • Notifying staff of completion of credentialing for scheduling and billing;
  • Maintaining and updating CAQH online credentialing application for all providers quarterly;
  • Database management and provider files;
  • Tracking and maintaining clinical licenses for nursing, pharmacy, and lab personnel;
  • Provider continuing education;
  • Tracking continuing education credits for all providers;
  • Notifying providers of any deficiencies;
  • Submitting documentation if providers are audited;
  • Termination of physician and/or allied health professional;
  • Contacting all MCO/hospitals/EMR to remove provider who has left practice, within 30 days of termination.

To succeed in this role, you will need excellent interpersonal skills, attention to detail, and strong organizational abilities. You should also have experience working with NCQA criteria and third-party payer regulations.



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