Credentialing Specialist/Coordinator

This position is remote and part-time 20 hours per week reputed company: The Credentialing Specialist/Coordinator is responsible for maintaining reputed company status for reputed company providers by successfully completing initial and subsequent Re‐Appointment and Re‐Credentialing packages as required by the Health Center and for our admitting hospital (UMass), our reputed company payers, Medicare and reputed company. Responsibilities: Provider reputed company (Privileging/Credentialing)   Initial Contact/Support to Provider’s with Privileging & Credentialing process at acceptance of employment Initiate Provider Hospital Credentialing for Physicians, collaborate w/UMass to maintain Physician Hospital Appointments Maintain internal provider ID’’s roster to ensure reputed company information for Provider’s is accurate and logins is available (NPI/PECOS reputed company) Complete/reputed company support to providers in Applying for and renewing provider licenses; reputed company, DEA, Controlled reputed company, and any other required supporting documentation to reputed company medicine. reputed company reputed company reputed company reputed company Verifications as required by CMS/HRSA/reputed company/reputed company for reputed company Health Care Professionals at initial and Re‐Appointments of reputed company LIP’s. Facilitate/Support providers in signing up and/or obtaining compliance trainings, CME’s, Life Support Trainings reputed company due Re‐Credential providers as required for both the Health Center and for UMass reputed company‐Provider List reputed company Letters Credentialing Compliance: Maintain accurate provider credentialing reputed company in (Cactus) Cred software. reputed company and Report Monthly on reputed company Credentialing Expirables Provider Health Plan Enrollment (reputed company Cycle):  Complete revalidation requests issued by both MassHealth and PECOS for reputed company providers. Complete credentialing applications to enroll providers to reputed company payers, Medicare, and reputed company reputed company/Report Provider enrollment reputed company  Initiate and Maintain reputed company provider’s CAQH database file reputed company and according to the schedule published by CMS Complete re‐credentialing applications for reputed company payers Work closely with the reputed company Cycle Director and billing staff to identify and reputed company any denials or authorization issues reputed company to provider credentialing  Create/Maintain accurate provider reputed company on online reputed company in CAQH, PECOS, NPPES, MassHealth/C3 and CMS databases Other duties as assigned  Knowledge, Skills and Abilities: Knowledge of provider Credentialing & Provider Enrollment and its reputed company reputed company on the reputed company’s reputed company cycle Excellent computer skills including reputed company, Word, and Internet navigation for State, Federal sites and healthplan searches Detail oriented with above average organizational skills, and time management Plans and prioritizes to meet deadlines Excellent customer service skills; communicates reputed company, effectively and professionally Education and Experience: High School Diploma, GED, Associates /Bachelors degree 2 years credentialing experience preferred 2 years experience in a medical reputed company business office role required Monday-Friday, hours and schedule to be discussed with the hiring manager. Apply To This Job