Credentialing Assistant - Clinical Practice Services
About The Position
Credentialing Assistants support the Medical College of Wisconsin (MCW) credentialing function by completing background verification and preparing files, as well as enrolling individual providers and clinical practice sites in public payer programs and maintaining enrollment status. The role requires consistent accuracy across a high volume of provider records. Work is closely supervised, and completed work is used in credentialing and enrollment decisions. This is a hybrid position, with 60% onsite and 40% remote work. The employee must live in the Metro Milwaukee, Wisconsin area.
Requirements
- High school diploma.
- At least 2 years of experience.
- Knowledge of quality control, customer service standards, information management, procedural processes, and recordkeeping.
- Computer, technical, interpersonal, oral communication, listening, and patience skills.
- Must live in the Metro Milwaukee, Wisconsin area.
Responsibilities
- Prepare re-credentialing files for review and decision by MCW Credentialing Committees.
- Verify specified information through identified primary sources, review re-credentialing applications for completeness, and pursue missing forms or information.
- Prepare Individual Status Reports from primary-source verifications and assemble each provider’s re-credentialing information into files for committee review.
- Enroll newly hired MCW providers in Medicare and appropriate Medicaid programs by receiving and reviewing applications, pursuing missing information or materials, coordinating with government payer personnel as needed, transmitting completed applications, and filing enrollment verifications.
- Prepare Candidate Background Assessment Program (CBAP) files for use in clinical department hiring decisions.
- Receive CBAP applications from candidates for faculty physician, dentist, and psychologist positions and verify specified information through primary sources.
- Report CBAP background-search results to the Office of General Counsel and clinical departments.
- Maintain spreadsheet records of each candidate’s progress through the CBAP process and individual files for all CBAP candidates.
Benefits
- Healthcare coverage, including health, vision, and dental insurance.
- Flexible Spending options.
- 403B retirement package.
- Competitive vacation and paid holidays.
- Tuition reimbursement.
- Paid parental leave.
- Employee & Family Assistance Program (EFAP).
- Pet insurance.
- On-campus fitness facility with onsite classes.
- Discounted rates on select cell phone plans, local fitness facilities, and Milwaukee recreation and entertainment.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
