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Credentialing Coordinator III

Company: Envision Physician Services
Location: Fort Lauderdale
Posted on: November 18, 2021

Job Description:

OverviewEnvision Physician Services is a multispecialty physician group and practice management company. Established in 1953, our organization provides anesthesia, emergency medicine, hospital medicine, radiology, primary/urgent care, surgical services, and women's and children's health services to hospitals and health systems nationwide. Sheridan Healthcare, EmCare, Reimbursement Technologies and Emergency Medical Associates have recently joined forces to form Envision Physician Services. As one organization, we now provide a greater scope of service than any other national physician group. Our collective experience from hundreds of local, customized engagements, culture of continuous lean process improvement, and team of experts in the business of healthcare enable us to better solve complex problems and consistently give healthcare organizations confidence in our execution. Our combined organization serves more than 780 healthcare facilities in 48 states and the District of Columbia. If you are looking for a stable, fast-paced, growing company in the healthcare industry that is committed to innovation, excellence and integrity, then this may be a great next step in the advancement of your career.We currently have an exciting opportunity available for a Credentialing Coordinator III for the Radiology Service line. Position Summary:The Credentialing Coordinator III is responsible for ensuring all providers are processed/credentialed prior to start date (i.e. Credentialing support of Employment, Hospital, and Licensing Applications). Maintain communication with Internal/External customers (MSO's, Client Service, State Boards) ensuring accuracy of the Applications (its Affiliates, Managed Entities etc.) and creating efficiency for the on-boarding process. Responsibilities

  • Responsible for Internal Audits
  • Ensure Visual Displays are available and accessible to all.
  • Process Improvement - Education
  • Metrics Data Integrity/Tracking
  • Complete and review with accuracy and thoroughness all new hires and additional locations/boards for credentialing and re-credentialing applications within timeframe.
  • Responsible for notification to appropriate parties once received.
  • Responsible ensure MSO (Medical Staff Offices), Envision Physician Services Credentialing Database is updated and current.
  • Ensure primary source verifications occur for internal processing as well as external customers (i.e. MSO's & State Boards)
  • Provide timely follow-up to obtain documentation required.
  • Credentialing (within 180 days) & Re-credentialing as required by contracted facility.
  • Coordinate internally to ensure complete information is received.
  • Ensure Credentialing & Re-credentialing is processed in accordance with NCQA and Company Standards.
  • Assist and prepare for NCQA audit.
  • Responsible for adhering to Information Security Policies and ensuring Envision is as secure as possible.
  • Other duties as assignedQualifications
    • High School Diploma or General Education Degree (GED) and 5 or more years of related experience
    • Good organizational skills
    • Communicate and work well in a team environment
    • Meet established production and quality goals/metrics
    • Follow up in a timely manner on open items
    • Able to effectively prioritize work on a daily basis
    • Ability to take direction and quickly adapt to established guidelines, is self-directed and is successful in working in a high paced environment.
    • Strong organization skills and attention to details are essential.
    • Excellent verbal and written communication skills are essential. Able to communicate and present information to a wide variety of parties effectively.
    • Demonstrated proficiency in use of Microsoft Office applications; Word, Excel, Outlook; and conducting research using various websites.
    • Knowledge of Credentialing Software
    • Certified Provider Credentialing Specialist (CPCS) through National Association of Medical Staff Services preferredWe offer a comprehensive benefits package that includes full Medical, Dental and Vision benefits effective on your first day of employment! Additionally, we also have a company matching 401 K, company paid Life Insurance, a generous PTO package and paid Holidays.If you are ready to join an exciting, progressive company and have a strong work ethic, join our team of experts! Envision Physician Services uses E-Verify to confirm the employment eligibility of all newly hired employees. To learn more about E-Verify, including your rights and responsibilities, please visit Envision Physician Services is an Equal Opportunity Employer.

Keywords: Envision Physician Services, Fort Lauderdale , Credentialing Coordinator III, Other , Fort Lauderdale, Florida

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