Credentialing Specialist
Credentialing Specialist
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Job Description
Job Details
Description
About Us
Inform Diagnostics a Fulgent Genetics Company is a nationally recognized diagnostics laboratory focused on anatomic pathology subspecialties including gastrointestinal pathology dermatopathology urologic pathology hematopathology and breast pathology.
Founded in 2011 our parent entity Fulgent Genetics has evolved into a premier fullservice genomic testing company built around a foundational technology platform.
Through our diverse testing menu Fulgent is focused on transforming patient care in oncology anatomic pathology infectious and rare diseases and reproductive health. We believe that by providing a wide range of effective flexible testing options in conjunction with bestinclass service and support we can redefine the way medicine is managed for patients and clinicians alike.
Since integrating with our therapeutic development business Fulgent is also developing drug candidates for treating a broad range of cancers using a novel nanoencapsulation and targeted therapy platform. By merging our fields of expertise we aim to become a fully integrated precision medicine company.
Summary of Position
The Credentialing Specialist is responsible for the credentialing and licensing process for physicians of all Inform Diagnostics entities. Included in these activities are the processing of provider applications and reapplications initial mailing review and loading into the database tracking system ensuring high quality standards are maintained.
Key Job Elements
- Complete process and submit state licensing applications to medical boards in order to obtain state medical licenses for both existing and new pathologists.
- Renew medical licensure hospital privileges and board certifications.
- Establish and maintain physician profiles with the Council for Affordable Quality Healthcare.
- Research and stay current on state licensure requirements and protocols.
- Develop and maintain relationships with company pathologists.
- Maintain complete files on pathologists for all company entities using OneApp Pro software database and spreadsheets.
- Enroll pathologists in Medicare/Medicaid and revalidate information as necessary.
- Complete and submit client credentialing applications for all company entities which require physician credentialing/privileging.
- Correspond with medical office staff licensing agencies education providers attorneys and insurance carriers via use of phone mail and email methods to complete pathologist files.
Qualifications
Knowledge/Experience
- Bachelors degree preferred.
- Two years of relevant work experience.
- Knowledge of commonly used concepts of credentialing and licensing procedures.
- Demonstrated ability to deliver timely and accurate work in a deadlinedriven environment.
- Excellent attention to detail organizational and time management skills.
- Ability to follow standard operating procedures (SOPs) for credentialing.
- Proactive works with a sense of urgency.
- Ability to present a professional demeanor.
- Proficient in Microsoft Office Suite specifically Word Excel Outlook and general working knowledge of Internet for business use.
- A high degree of human relation skills to interact across multiple facilities at various levels.
- Commitment to the successful achievement of team and organizational goals through a desire to participate with and help other members of the team.
- Proficient verbal and written communication skills.
- Willingness to share and receive information and ideas from all levels of the organization.
Environment
Fulgent Therapeutics LLC is an Equal Employment Opportunity Employer.
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions. The term qualified individual with a disability means an individual with a disability who with or without reasonable accommodation can perform the essential functions of the position.
This job description reflects managements assignment of essential functions. Nothing in this job description restricts managements right to assign or reassign duties and responsibilities to this job at any time.
Please note that Fulgent (and its affiliated companies including Inform Diagnostics and CSI Laboratories) does not accept unsolicited information and/or resumes from search firms or agencies for our job postings. Search firms or agencies without an applicable contract and/or express approval to recruit for the role in question that choose to submit a resume or client information to our career page or to any employee of Fulgent will not be eligible for payment of any fee(s) and any associated shared data will become the property of Fulgent.
Required Experience:
Senior IC
Employment Type
Unclear
