USACares Jobs

Job Information

Urology Austin Credentialing Specialist in Austin, Texas

ROLE QUALIFICATIONS:

  • High school diploma required; advanced degree preferred.

  • Minimum three (3) years of credentialing experience within a clinic or physician practice is required.

  • Strong working knowledge of insurance plans, including Medicare and Medicaid.

  • Proficiency in computer software use, including Microsoft Office, EMR and Practice Management systems.

  • Effective time management and the ability to prioritize work.

  • Excellent communication skills and the ability to interact with all levels of management, staff, and physicians.

ESSENTIAL JOB RESPONSIBILITIES:

  • Complies and maintains current and accurate data for all providers

  • Completes provider credentialing and recredentialing applications: monitors applications and follows-up as needed.

  • Maintains copies of current licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers.

  • Maintains corporate provider files and work with HR to keep file current.

  • Maintains knowledge of current health plan and agency requirements for credentialing providers.

  • Sets up and maintains provider credentialing in online credentialing database system and system.

  • Tracks license and certificate expiration for all providers to ensure timely renewals.

  • Ensures practice addresses are current with health plans, agencies, and other entities.

  • Processes applications for appointment and reappointment of privileges.

  • Tracks license, DEA, and professional liability expirations for appointed providers.

  • Maintains Urology Austin appointment files and information in credentialing database.

  • Audits health plan directories for current and accurate provider information.

  • Other reasonably related duties as assigned by supervisor or manager.

  • Performs all duties and services in full compliance with the Urology Austin Core Values.

Benefits

Medical, Dental, Vision, Pet Insurance, Free $50,000 Life Insurance, Free $50,000 AD&D, 401(k) and Profit Sharing and much more!!!

Urology Austin is an Equal Opportunity Employer

DirectEmployers