What are the responsibilities and job description for the Credentialing Specialist position at ACE Healthcare Solutions?
ACE Healthcare Solutions is a dynamic company that assists with community health care. ACE Healthcare Solutions supports its clients, Federally Qualified Healthcare Centers (FQHC’s), increase their revenue and support more of the community in which we serve together.
ACE Healthcare Solutions offers several competitive benefits to full time team members:
- Insurance following 60 days of full time employment
- Medical
- Dental
- Vision
- Company paid long and short term disability and life insurance
- PTO following 90 days of full time employment
- Paid holidays following 90 days of full time employment
- 401K following one year of full time employment
- ACE Healthcare Solutions is seeking an established, innovative, personable and passionate individual with credentialing experience looking to make a difference to fill the full-time schedule of the Credentialing Specialist position. This person will be responsible for:
- All aspects of the credentialing, re-credentialing and privileging processes for all medical providers who provide patient care for ACE Healthcare Solutions' clients.
- Ensuring providers are credentialed, appointed, and privileged with health plans, hospitals and patient care facilities.
- Maintain up-to-date data for each provider in credentialing databases and online systems.
- Ensure timely renewal of licenses and certifications.
QUALIFICATIONS:ESSENTIAL FUNCTIONS INCLUDE BUT ARE NOT LIMITED TO:Job Type: Full-time
- Education:
- High school diploma or GED
- Associate degree preferred
- Certification/Licensure: Certified Provider Credentialing Specialist (CPCS) preferred.
- Experience: Two years of relevant credentialing experience
- Knowledgeable of CATUS
- Must be knowledgeable of and understand credentialing
- Ability to establish and maintain effective working relationships with providers, management, staff, and contacts outside of ACE Healthcare Solutions
- Proficient use of Microsoft Office applications (Word, Excel, Access) and Internet resources.
- Ability to organize and prioritize work
- Excellent verbal and written communication skills including, letters, memos and
- Excellent attention to detail
- Ability to research and analyze
- Ability to work independently with minimal supervision
- Compiles and maintains current and accurate data
- Completes provider credentialing and re-credentialing applications; monitors applications and follows-up
- Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all
- Maintains corporate provider contract and confidentiality
- Maintains knowledge of current health plan and agency requirements for credentialing providers.
- Establishes and maintains provider information in online credentialing databases
- Tracks license, DEA, professional liability and certification expiration dates for all providers
- Ensures practice addresses are current with health plans and agencies
- Processes applications for appointment and reappointment of privileges
- Maintains Client- providers appointment files, and information in credentialing
- Audits health plan directories for current and accurate provider
Job Type: Full-time
Pay: $40,000.00 - $55,000.00 per year
Schedule:
- 8 hour shift
- Day shift
- Monday to Friday
Work Location: In person
Salary : $40,000 - $55,000
