LE0020 Orlando Family Physicians, LLC
It's fun to work in a company where people truly BELIEVE in what they're doing!
We're committed to bringing passion and customer focus to the business.
Job Summary : Assisting medical professionals by verifying licensing, their training, schooling. Making sure they meet the Federal and State and NCQA standards and requirements of their profession. Filing payor’s applications, making the changes for licenses and certificates for the new providers files and assisting on the Updates of various web sites.
Responsibilities:
Assist to change Medical Licenses and DEA Certificates of newly hired Providers.
Assist Updating the CVs, gathering all the demographics for the Provider Information forms.
Verifying licensure, certificates and training of medical providers.
Gathering the components of a Credentialing Package for the new Providers. 5. Initiating CAQH files ready for new providers National credentialing files.
Assist on the constant updating of the CAQH and Healthgrades various other Web sites.
Assist redacting Introduction letters and training for our new providers and their State and National guidelines.
Processing payors applications for the newly hired providers, and the applications for renewals every two to three years for existing providers.
Understanding of the different requirements of payors and the way these requirements change.
Keeps the “timeline” for provider applications so we can manage a large group of constant pending files.
Constant Audits of the work done to assure accuracy and quality.
Keeping up with all application status to assure credentialing completeness.
Constant communication with the team.
Cooperation with all other company teams and their needs for credentialing information.
Maintaining open communications with office administrators to ensure the exchange of renewed certificates and licensing.
Assist in anything the Credentialing Specialist needs
Skills and Specifications
• Ability to communicate clearly and effectively verbally and in writing.
• Ability to prioritize, multitask and change “mode” as needed.
• Excellent Customer Service skills.
• Excellent computer skills (Microsoft Word, Excel, and Outlook)
• Detail -oriented and highly organized.
• Ability to work detailed projects.
• Ability to keep sensitive and confidential information guarded.
• AA Degree or equivalence.
• Certification of National Association of Medical Staff Services or equivalence. • Human Resources Experience.
• Office etiquette and Communication skills.
• Project Management experience.
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
...into decisions, shaping planning processes, and partnering with leaders around the world, this role is for you. As our Global FP&A Analyst, you will lead our global budgeting and forecasting cycles and be the hands-on owner of our Anaplan planning platform. You'll design...
...Jefferson Capital is seeking a high-impact Business Development professional to drive new client... ...term client relationships and expanding services offered to existing client partners.... ...differentiation. Executive Relationship Management: Represent the company as a thought...
...Confirmation Call Center Manager Creating a fresh solution to bath remodeling, Bath Planet offers a stylish, cost-effective, low-maintenance bath improvement to homeowners, commercial customers and consumers with accessibility needs. We were created to meet the needs...
...setting Must be comfortable with back office responsibilities High school Education or equivalent Proof of current vaccinations, including recommended boosters, commonly required for those working with immunocompromised patients, including measles, mumps,...
...are doing! We're committed to bringing passion and customer focus to the business. Insurance Underwriter SME (SR-39481) New York, NY (Preferred) / East Coast Remote Fractal is a strategic AI partner to Fortune 500 companies with a vision to power every human decision...