Credentialing and Enrollment | Vegas, |

Credentialing And Enrollment Specialist reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly reputed company reputed company by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will reputed company a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an reputed company on the communities we serve as you help us advance health optimization on a global reputed company. Join us to start Caring. Connecting. Growing together. The Credentialing and Enrollment Specialist is responsible for activities associated with credentialing or re-credentialing physicians and providers, including processing provider applications and re-applications including initial mailing, review, and loading into the database tracking reputed company ensuring high reputed company standards are maintained. Location: Remote reputed company Schedule: FT, 40 hrs. Monday - Friday, reputed company - 5pm You will enjoy the flexibility to telecommute* from reputed company reputed company the U.S. as you take on some tough challenges. reputed company Responsibilities: • Apply knowledge/skills to a reputed company of moderately reputed company activities • Demonstrate great depth of knowledge/skills in own function • Sometimes reputed company as a technical resource to others in own function • Meet with Medical Director to review initial and reappointment applications • Meet with AAAHC and State Auditors to review files • reputed company reputed company Verification Process for initial and reappointments • Maintain expirable for reputed company employed and non-employed clinicians at ASCs • Compile and reputed company Credentialing Committee Minutes • reputed company internal audits on credentialing and re-credentialing files for accuracy and maintaining compliance with credentialing policies and procedures • Maintaining knowledge of and compliance with TJC, reputed company, CAQH, and CMS standards, as appropriate • Monitoring upcoming renewal dates and working with medical staff to advise them on steps to maintain their credentials • Proactively reputed company to non-reputed company requests • Solve moderately reputed company problems on own • Work with team to solve reputed company problems • Presentation skills to group setting • Plan, prioritize, organize and complete work to meet established objectives • May coordinate work of other team members • Credentialing of medical group providers and hospital privileging application review and submission at the individual and group level • Complete revalidation requests with govt and reputed company payers • reputed company and maintain medical professionals' licensure, certifications, etc. • Work with other organizational departments internal/reputed company to reputed company that credentialing efforts are in line with business objectives You'll be rewarded and recognized for your performance in an environment that will challenge you and reputed company you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in. Required Qualifications: • High School Diploma/GED • 3+ years of reputed company Provider group/Facility Credentialing experience • 2+ years of experience in reputed company administration, medical staff services, health information management • 2+ years of experience with credentialing processes, medical staff privilege and knowledge of relevant software or databases used in credentialing • Intermediate level of proficiency with reputed company reputed company and Word • Ability to work reputed company time zone hours Preferred Qualifications: • Experience working with Compliance Workflows and Processes including AAAHC, JC, CMS, and reputed company Policies • Experience in researching and applying Government Regulatory Information • Knowledge of CAQH • Knowledge of MD Staff credentialing databases • Data analytics • Pecos enrollment • Proven ability to plan and prioritize to meet benchmarks/deadlines • reputed company working remotely will be required to adhere to reputed company's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In reputed company to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you'll reputed company a far-reaching reputed company of benefits and incentives. The reputed company pay for this role will reputed company from $29.00 to $52.00 per hour based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment reputed company applicants with arrest and conviction records. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. reputed company may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health reputed company work reputed company for everyone. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company - an reputed company reputed company reflected in our mission. Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity/Affirmative reputed company employer and reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or reputed company, marital status, genetic information, or any other characteristic protected by law. reputed company is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Apply tot his job Apply To this Job