Credentialing Enrollment SpecialistPride Health is hiring a Credentialing Enrollment Specialist for one of its clients in North Carolina. This is a 12-month contract with the possibility of an extension with competitive pay and benefits. Location Charlotte NC (28208)Pay range - $20 - $23 per hour on W2. Length of assignment 12 months (With the possibility of Extension)Shift Monday - Friday - 8 Hours per day / 40 Hours per week. Job SummaryOverseas the internal processes and procedures as well as governmental add regulatory requirements for the timely and accurate completion and submission of provider applications assisting in departmental planning development and DutiesPerforms primary source verifications of documentation required for managed care credentialing and recredentialing of MGD issue resolution and support regarding billing issues as they relate to provider enrollment and credential lien for MGD providers and the central billing office Enters provider data in the echo database according to established departmental processes and provides feedback to other system entities as to the status of the follow-up on needed information ( expired licenses board certifications insurance and DEA registrations) on an ongoing basis and ensures receipt of the same physician files or file audits by managed care organizations corporate compliance and accreditation entities and conducts practice site visits for practices within MGD. Facilitates communication tools and or activities to maintain a timely and accurate flow of information to managed care organizations (MCO) and the system Review hard copy and electronic provider directories and other information produced by managed care organizations reflecting CHS MGD and the systems demographics and participation Provides team member support to the CPN credentialing and quality review school diploma or GED degree years experience in a role that performs or supports provider credentialing privileging and or enrollment in either a hospital managed care plan or RCMS environment is required. Knowledge of experience with personal computers windows and Microsoft applications copiers fax machines and multi-line telephones required. Certification through the National Association of Medical Staff Services (NAMMS) uh this is a certified provider credential specialist (CPC) or professional medical services management (CPMSM) Global offers eligible employees comprehensive healthcare coverage (medical dental and vision plans) supplemental coverage (accident insurance critical illness insurance and hospital indemnity) 401(k) retirement savings life & disability insurance an employee assistance program legal support auto home insurance pet insurance and employee discounts with preferred Opportunity EmployerAs a certified minority-owned business Pride Global and its affiliates - including Russell Tobin Pride Health and Pride Now - are committed to creating a diverse environment and are proud to be an equal-opportunity employer. All qualified applicants will receive consideration for employment without regard to race color religion gender gender identity or expression sexual orientation national origin genetics pregnancy disability age veteran status or other Privacy DisclosureWe collect personal information from applicants during the recruiting pre-offer and offer the recruiting pre-offer process and offer process we may collect the following categories of personal information: such as name address and email and Employment-Related Information such as resume work history education and Voluntarily Provided by You in connection with the recruiting and pre-offer Personal Information where legally permitted and necessary such as Social Security number and date of information is collected and used for the following business purposes: evaluating qualifications and eligibility for employment; communication regarding the recruitment and application process; verifying eligibility for employment; and complying with applicable legal regulatory and contractual information is collected and used only as necessary and we are committed to data minimization privacy and providing equal employment opportunities. We are an international organization and personal information may be accessed or processed by authorized personnel or service providers located outside the United States subject to appropriate safeguards. We restrict use and access to personal information to authorized personnel and service providers with confidentiality and data security obligations. We maintain administrative technical and physical safeguards designed to protect personal information from unauthorized access use or information about our privacy practices please review our Privacy Policy at: you do not consent to the collection of such personal information please advise us immediately in writing at
Required Experience:
IC
Credentialing Enrollment SpecialistPride Health is hiring a Credentialing Enrollment Specialist for one of its clients in North Carolina. This is a 12-month contract with the possibility of an extension with competitive pay and benefits. Location Charlotte NC (28208)Pay range - $20 - $23 per hour ...
Credentialing Enrollment SpecialistPride Health is hiring a Credentialing Enrollment Specialist for one of its clients in North Carolina. This is a 12-month contract with the possibility of an extension with competitive pay and benefits. Location Charlotte NC (28208)Pay range - $20 - $23 per hour on W2. Length of assignment 12 months (With the possibility of Extension)Shift Monday - Friday - 8 Hours per day / 40 Hours per week. Job SummaryOverseas the internal processes and procedures as well as governmental add regulatory requirements for the timely and accurate completion and submission of provider applications assisting in departmental planning development and DutiesPerforms primary source verifications of documentation required for managed care credentialing and recredentialing of MGD issue resolution and support regarding billing issues as they relate to provider enrollment and credential lien for MGD providers and the central billing office Enters provider data in the echo database according to established departmental processes and provides feedback to other system entities as to the status of the follow-up on needed information ( expired licenses board certifications insurance and DEA registrations) on an ongoing basis and ensures receipt of the same physician files or file audits by managed care organizations corporate compliance and accreditation entities and conducts practice site visits for practices within MGD. Facilitates communication tools and or activities to maintain a timely and accurate flow of information to managed care organizations (MCO) and the system Review hard copy and electronic provider directories and other information produced by managed care organizations reflecting CHS MGD and the systems demographics and participation Provides team member support to the CPN credentialing and quality review school diploma or GED degree years experience in a role that performs or supports provider credentialing privileging and or enrollment in either a hospital managed care plan or RCMS environment is required. Knowledge of experience with personal computers windows and Microsoft applications copiers fax machines and multi-line telephones required. Certification through the National Association of Medical Staff Services (NAMMS) uh this is a certified provider credential specialist (CPC) or professional medical services management (CPMSM) Global offers eligible employees comprehensive healthcare coverage (medical dental and vision plans) supplemental coverage (accident insurance critical illness insurance and hospital indemnity) 401(k) retirement savings life & disability insurance an employee assistance program legal support auto home insurance pet insurance and employee discounts with preferred Opportunity EmployerAs a certified minority-owned business Pride Global and its affiliates - including Russell Tobin Pride Health and Pride Now - are committed to creating a diverse environment and are proud to be an equal-opportunity employer. All qualified applicants will receive consideration for employment without regard to race color religion gender gender identity or expression sexual orientation national origin genetics pregnancy disability age veteran status or other Privacy DisclosureWe collect personal information from applicants during the recruiting pre-offer and offer the recruiting pre-offer process and offer process we may collect the following categories of personal information: such as name address and email and Employment-Related Information such as resume work history education and Voluntarily Provided by You in connection with the recruiting and pre-offer Personal Information where legally permitted and necessary such as Social Security number and date of information is collected and used for the following business purposes: evaluating qualifications and eligibility for employment; communication regarding the recruitment and application process; verifying eligibility for employment; and complying with applicable legal regulatory and contractual information is collected and used only as necessary and we are committed to data minimization privacy and providing equal employment opportunities. We are an international organization and personal information may be accessed or processed by authorized personnel or service providers located outside the United States subject to appropriate safeguards. We restrict use and access to personal information to authorized personnel and service providers with confidentiality and data security obligations. We maintain administrative technical and physical safeguards designed to protect personal information from unauthorized access use or information about our privacy practices please review our Privacy Policy at: you do not consent to the collection of such personal information please advise us immediately in writing at
Required Experience:
IC
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