Job Description
Description:
NANI is seeking a Credentialing Specialist. This position will be responsible for all aspects of the credentialing, re-credentialing and privileging processes for all medical providers who provide patient care for NANI. This role will be responsible for ensuring providers are credentialed, appointed, and privileged with health plans, hospitals, Medicare, Medicaid and patient care facilities. The Credentialing Specialist will need to maintain up-to-date data for each provider in credentialing databases and online systems; ensure timely renewal of licenses and certifications. It will be necessary to maintain and update all Insurance Credentialing requirements and assist in the licensure application process for licensed professionals.
Responsibilities
• Compiles and maintains current and accurate data for all providers
• Completes provider payer enrollment applications; monitors applications and follows-up as needed
• Maintains copies of current state licenses, DEA certifications, malpractice coverage and any other required credentialing documents for all providers
• Maintains knowledge of current health plan and agency requirements for credentialing providers
• Sets up and maintains provider information in credentialing databases and systems
• Tracks license and certification expirations for all providers to ensure timely renewals
• Ensures practice addresses are current with health plans, agencies, and other entities
• Tracks license, DEA and professional liability expirations for providers
• Audits health plan directories for current and accurate provider information
• Maintains confidentiality of provider information
• Provides credentialing and privileging verifications
Health plan/Hospital credentialing is required
...comprehensive litigation support, including preparing and filing court documents, managing case files, and assisting with trial... ...information. 7. Assisting in the preparation of billing and budget reports, tracking billable hours, and ensuring timely submission of invoices...
...Pay from $27 to $33 per hour with significant growth and earning potential! Includes $2 Shift Differential Florida Branch 3830 Uline Drive, Naples, FL 34117 Go-getters wanted! Looking to join a top-tier team? Join Uline as a Warehouse Order Picker for job...
...leading brands. Were looking to hire a Corporate Communication Copywriter for a Travel and Tourism Client . Youll join the... ...office several times per week (TechHub or Port HQ)~5+ years of experience in corporate communications, executive writing, or internal content...
...Our well known retail client is looking for a Copywriter with 1+ years' experience for an immediate long term contract in their Dayton, Ohio office; this role is onsite five days a week and the client is looking for a portfolio with a range of work across print and digital...
...flexibility, and an open mindset.We are looking for a passionate SRE to join us as a core member of our growing DevOps team.In this... ...and agile environment.WHAT YOULL DOWork closely with R&D engineers on coordination, communication, and execution of production-related...