What are the responsibilities and job description for the Credentialing Specialist position at P3 Health Partners?
People. Passion. Purpose.
At P3 Health Partners, our promise is to guide our communities to better health, unburden clinicians, align incentives and engage patients.
We are a physician-led organization relentless in our mission to overcome all obstacles by positively disrupting the business of health care, transforming it from sickness care into wellness guidance.
We are looking for a Credentialing Specialist. If you are passionate about your work; eager to have fun; and motivated to be part of a fast-growing organization in Las Vegas, Nevada, then you should consider joining our team.
Overall Purpose:
The role of the Credentialing Specialist is to collect the necessary credentialing data in order to verify and document that the Practitioners and Facilities/Sites/Clinics used by P3 Health Partners Network and Medical Group meet contractual requirements.
Education and Experience:
At P3 Health Partners, our promise is to guide our communities to better health, unburden clinicians, align incentives and engage patients.
We are a physician-led organization relentless in our mission to overcome all obstacles by positively disrupting the business of health care, transforming it from sickness care into wellness guidance.
We are looking for a Credentialing Specialist. If you are passionate about your work; eager to have fun; and motivated to be part of a fast-growing organization in Las Vegas, Nevada, then you should consider joining our team.
Overall Purpose:
The role of the Credentialing Specialist is to collect the necessary credentialing data in order to verify and document that the Practitioners and Facilities/Sites/Clinics used by P3 Health Partners Network and Medical Group meet contractual requirements.
Education and Experience:
- High School Diploma or GED
- Minimum of 2 years Credentialing experience preferred including Hospital/SNFs/Surgery Centers
- Ability to follow standard operating procedures of P3 Health Partners as provided.
- Ability to follow routine credentialing procedures and processes consistently and efficiently.
- Excellent verbal and written communication skills.
- Ability to work independently and in conjunction with all team members at all levels of the organization. Must have a high level of interpersonal skills to handle sensitive and confidential situations. Position continually requires demonstrated poise, tact and diplomacy.
- Highly organized, detailed-orientated individual with multi-tasking abilities.
- Must be able to work in a fast-paced environment with demonstrated ability to juggle multiple competing tasks and demands
- Self-motivated individual who is adaptable to change.
- Proficient in Microsoft Outlook, Excel and Word.
- Gather all necessary licensure and other Practitioner background items.
- Enter, maintain and update the credentialing system used by P3 Health Partners.
- Enter, maintain and update Practitioners credentialing data storage files.
- Process credentialing applications to contracted insurances/networks including Medicare and Medicaid on behalf of all group Practitioners including initial and re-credentialing as required.
- Process credentialing applications to Hospitals/SNFs/Surgery Centers, etc. on behalf of all group Practitioners including initial and re-credentialing as required.
- Enter, maintain and update Practitioner’s CAQH credentialing information using their online system.
- Perform primary and secondary source verification of Practitioner’s credentials according to P3 Health Partners policies.
- Provide updates to appropriate outside credentialing contacts/databases/websites as necessary to ensure Practitioner information is current and accurate.
- General administrative duties.
