Specialist, Credentialing

4 weeks ago


San Antonio Texas, United States MPOWERHealth Full time
Overview:

About MPOWERHealth:

For over a decade, MPOWERHealth has supported the independent musculoskeletal physician with best-in-class clinical services, back-office solutions, and advanced technology. We pride ourselves on being a partner that offers foresight to customers. We simplify what’s complex, and we help them find a better way. Our best-in-class analytics coupled with industry-leading expertise make MPOWERHealth the company our customers can rely on no matter what lies ahead.

 

 

Benefits:

Multiple medical plan options

Health Savings Account with company contributions

Dental & vision coverage for you and your dependents

401k with Company match

Vacation, sick time & Company paid holidays

Company wellbeing program with health insurance incentives

We are looking for a positive person who is interested in being a success and will help take the company to the next level. Mpower Healthcare, culture calls for superior customer service, excellent understanding of best practices in credentialing and a commitment to team problem solving and solutions. The seasoned professional for this job needs superior communication and computer skills including strong familiarization with the Joint Commission credentialing processes, Microsoft Outlook, Word and Excel are essential.

Responsibilities:
Knowledge of federal and state regulatory requirements and accreditation standards (i.e., Joint Commission, CMS)

Maintain, track and update all credentialing documents, including checking all applications for accuracy and completeness and providing status to need-to-know parties in timely

Completes initial and re-credentialing applications on all physicians

Update and maintain all licensures, CVs, DEA’s and certificates

Tracks expiable information for all providers to ensure timely

Maintains excellent working relationships with the facilities to ensure timely and accurate credentialing status

Maintains strict confidentiality with regard to protected health information understands HIPAA Privacy & Security policies and procedures

Maintains strict confidentiality regarding provider

Performs other duties and special projects as assigned by Supervisor or Director

Qualifications:
Knowledge of Joint Commission Standards

Proficient and accurate in data

Ability to prioritize workload and meet strict

Strong problem-solving skills and attention to

Ability to prepare and write reports, summaries of work/work

Strong personal motivation with ability to work with little supervision and attention to detail while working in a deadline driven

Ability to think creatively, highly driven, self-motivated, highly

Ability to courteously work with medical staff, hospital staff, insurance company representatives, co- workers, and others

Familiar with Texas Standardized Credentialing Application

Familiar with the verification process

Familiar with the ability to apply a physician to a Licensing Authority

 

 Experience and Training:

High School Diploma or GED

Minimum of two years’ experience in credentialing

Excel, Word, Adobe experience

#IND123



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