Credentialing Specialist

Company: Urgent Team
Location: Nashville
Posted on: November 15, 2024

Job Description:

Urgent Team is looking for an experienced Credentialing Specialist to join our corporate office in Nashville, TN (Green Hills). This position is responsible for the daily credentialing, on-boarding, and payer enrollment functions for all physicians and midlevel providers. This position is located in Green Hills and will work a typical Monday-Friday schedule. A hybrid schedule may be possible after training. KEY RESPONSIBILITIES: The following duties and responsibilities generally reflect the expectations of this position but are not intended to be all inclusive. Other duties may be assigned. --- Responsible for the provider credentialing/on-boarding process prior to a new physician or midlevel provider working --- Responsible for the payer enrollment process for all physicians and midlevel providers --- Responsible for the re-credentialing and re-enrollment of current physicians and midlevel providers --- Maintain high level of expertise in credentialing and payer enrollment rules, regulations and standards regarding Federal and multi-state policies that affect payer enrollment and company revenue --- Assist in the maintenance, development, and implementation of the credentialing process and procedures --- Attend pertinent internal and external meetings --- Perform data management and reporting from Echo One/Symed database and ancillary systems --- Generate and present ideas for improvement WHAT'S REQUIRED? --- High school diploma or equivalent --- Minimum one year experience in medical or related field with a thorough understanding of provider credentialing and payer enrollment --- Excellent writing and communication skills --- Good organizational and project management ability --- Comfortable extracting and formatting data for ad hoc report requests --- Proficient in Microsoft Office Suite BENEFITS INCLUDE: --- Competitive Salary --- Medical, Dental, and Vision Options --- Retirement savings plans --- Paid Time Off --- and MORE! ABOUT URGENT TEAM: The Urgent Team Family of Urgent Care & Walk-in Centers, an "on-demand" healthcare company, was created to provide quality, affordable and, convenient walk-in medical and telemedicine service in suburban neighborhoods, rural towns, and mid-size cities across the Southeast. All of our 83 centers are have achieved the Urgent Care Association Accreditation, the highest level of distinction for an urgent care center. UCA Accreditation demonstrates an organization's overriding commitment to safety, quality and scope of services. Additionally, 17 centers are designated Rural Health Clinics, which provide access to primary care services for patients in rural communities. Based in Nashville, TN, the Urgent Team Family of Urgent Care & Walk-in Centers delivers care in five states through eight distinct brands: Ascension Saint Thomas Urgent Care, Baptist Urgent Care, Washington Regional Urgent Care, Huntsville Hospital Urgent Care, Physicians Care, Urgent Team, Sherwood Urgent Care, and Baptist Health Urgent Care. Employment Type: Full Time

Keywords: Urgent Team, Franklin , Credentialing Specialist, Other , Nashville, Tennessee