Specialist, Credentialing

4 weeks ago

San Antonio, United States Mpower Health 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 whats 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, DEAs 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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