What are the responsibilities and job description for the Provider Enrollment - Credentialing Specialist - REMOTE position at Quadris Team LLC?
Quadris Team, LLC - A Revenue Cycle Management Group, is searching for that dynamic person to join us, working with our Physician Excellence team to fill the role of Credentialing and Enrollment Specialist. We are a 100% remote team supporting our Physician clients across the United States! See us at www.quadristeam.com
Job Focus :
The experienced Provider Enrollment-Credentialing Specialist will perform facility and health plan credentialing for Physicians, Nurse Practitioners and PA's and work independently to coordinate, develop, monitor, and maintain the credentialing process. This position is responsible for assessing current credentialing status of all employed and independently contracted provider's, complete facility and payer applications as needed and work with leadership to ensure all provider credentialing is properly managed. The Credentialing Specialist reviews applications, verifies education and training, maintains a database for new and existing providers, and works with auditors as needed.
The Credentialing Specialist will be responsible for all aspects of the credentialing, recredentialing and privileging processes for all medical providers who provide patient care, clinics, and facilities. In this role, the Credentialing Specialist will be responsible for ensuring providers are credentialed, appointed, and privileged with health plans, hospitals, and patient care facilities and maintain up-to-date data for each provider in credentialing databases and online systems; including :
- Initial and reappointment of hospital privileges.
- Processing initial credentialing and re-credentialing applications
Primary - Essential Expectations for Success :
Primary Focused Work :
Skills Needed to Be Successful :
Core Talent Essentials :
Physical Environment :
Quadris is an Equal Employment Opportunity employer. Any offer of employment is contingent upon a criminal background check, previous employment verification and references, following all federal and state regulations. Quadris Team is a participant of eVerify.