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Foundations for Living
Tredyffrin Township, PA | Full Time
$44k-55k (estimate)
1 Day Ago
Credentialing specialist
Foundations for Living Tredyffrin Township, PA
$44k-55k (estimate)
Full Time 1 Day Ago
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Foundations for Living is Hiring a Credentialing specialist Near Tredyffrin Township, PA

Responsibilities

Independence Physician Management (IPM), a subsidiary of UHS, was formed in 2012 as the physician services unit of UHS. IPM develops and manages multi-specialty physician networks and urgent care clinics which align with UHS acute care facilities.

It also provides select services for the Behavioral Health division of UHS. Through continuing growth, IPM operates in 11 markets across six states and the District of Columbia.

Our leadership team, practitioners, and teams of healthcare professionals are collectively dedicated to improving the health and wellness of people in the communities we serve.

To learn more about IPM visit .

Position Overview :

The IPM Credentialing Specialist ensures that the credentialing requirements for governmental agencies and commercial managed care insurers / networks are met and managed timely so that physicians are enrolled in and maintain active credentialing status with such entities.

They are also responsible for credentialing, as assigned, to other IPM physician group models.

Qualifications

  • Comprehensive knowledge of the managed care industry, with specific emphasis on physician credentialing and / or physician contracting requirements.
  • A broad understanding of the managed care contracting process is required and knowledge of managed care payers’ processes.
  • Responsible for credentialing activities as it relates to initial credentialing, re-credentialing, and credentials modification.
  • Ability to communicate effectively both verbally and in writing with internal departments, physicians, physician group management staff and managed care companies to achieve the necessary results required in the credentialing process and support of the Credentialing Department.

Education :

  • High School Diploma / GED required.

Work Experience :

3 5 years of experience with physician credentialing and / or physician contracting requirements in a managed care environment.

As an IPM employee you will be part of a first-class organization offering :

  • A Challenging and rewarding work environment.
  • Competitive Compensation & Generous Paid Time Off.
  • Excellent Medical, Dental, Vision and Prescription Drug Plans.
  • 401(K) with company match.

Independence Shared Services is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails.

All resumes submitted by search firms to any employee via email, the Internet or in any form and / or method without a valid written search agreement in place for this position will be deemed the sole property of Independence Shared Services.

No fee will be paid in the event the candidate is hired because of the referral or through other means.

About Universal Health Services

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc.

UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $13.

4 billion in 2022. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies.

Headquartered in King of Prussia, PA, UHS has approximately 94,000 employees and continues to grow through its subsidiaries.

Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network, and various related services located all over the , Washington, , Puerto Rico, and the United Kingdom.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates.

UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillsets and experience with the best possible career path at UHS and our subsidiaries.

We take pride in creating a highly efficient and best-in-class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.

from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at : or 1-800-852- 3449

Last updated : 2024-06-25

Job Summary

JOB TYPE

Full Time

SALARY

$44k-55k (estimate)

POST DATE

06/26/2024

EXPIRATION DATE

06/26/2024

WEBSITE

foundationsforliving.net

HEADQUARTERS

Mansfield, OH

SIZE

<25

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The following is the career advancement route for Credentialing specialist positions, which can be used as a reference in future career path planning. As a Credentialing specialist, it can be promoted into senior positions as a Compliance Manager - Healthcare that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Credentialing specialist. You can explore the career advancement for a Credentialing specialist below and select your interested title to get hiring information.

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If you are interested in becoming a Credentialing Specialist, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Credentialing Specialist for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

Quotes from people on Credentialing Specialist job description and responsibilities

A certified professional credentialing specialist ensures that staff members of a facility maintain licenses, training, and certifications based on federal and state law.

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A credentialing specialist can have certificates that will prove useful to their field.

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Credentialing specialists also ensure that any services provided by medical facilities meet the required standards as set by state and federal government agencies.

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Credentialing specialists are part of an organization's administrative staff; they review medical policies, process contracts, and facilitate audit reports to validate that certified medical professionals comply with credentialing procedures.

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Credentialing specialists will also ensure that their employer meets state, federal and other regulations for quality of care.

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Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on Credentialing Specialist jobs

Credentialing specialists can often find work with a high school diploma or the equivalent.

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Some employers strongly prefer credentialing specialists who have a Certified Provider Credentialing Specialist (CPCS) credential.

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While an associate degree may not be required for a position as a credentialing specialist, some employers may prefer applicants with a two-year degree.

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Make Use Of Advanced Software For Monitoring.

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Stay Updated with the Coalition for Affordable Quality Healthcare's Credentialing Program.

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Step 3: View the best colleges and universities for Credentialing Specialist.

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