CREDENTIALING LIAISON - Albany
About The Position
If you are looking for a Credentialing position in the Administrative Offices of a busy multi-specialty Medical Group, full time, this could be your opportunity. Here at St. Peter's Health Partner's, we care for more people in more places. This position is located at the Medical Associates Administrative Offices, 425 New Scotland Ave., Albany, NY. Position Highlights: Quality of Life: Where career opportunities and quality of life converge Advancement: Strong orientation program, generous tuition allowance and career development Work/Life: Monday – Friday, Office Hours The Credentialing Liaison is responsible for the timely credentialing of new providers with our SPHP contracted payers. This position also performs credentialing pertaining to practice and provider changes as well as updates and maintenance of credentialing / follow up, as needed. This is a Very detail-oriented position with strict deadlines.
Requirements
- 1 – 3 years of payer credentialing experience required
- Knowledge of payer credentialing processes and requirements
- Experience in a healthcare setting interacting with physicians and other providers
- Ability to work independently and exercise solid judgment to escalate issues appropriately
- Strong working knowledge of Microsoft Office applications
- Effective written and verbal communication skills
- Ability to manage multiple tasks with tight deadlines simultaneously
- High School diploma / GED required
Responsibilities
- Ensure collection and verification of all new provider payer credentialing documentation, including but not limited to education, licensure, DEA, board certification and all SPHPMA required documents.
- Maintain active and accurate Echo One App (Symed) file for each assigned provider
- Maintain accurate payer credentialing e-files for assigned panel of providers
- Credential all new providers according to established procedures and timelines
- Perform all required updates and follow-up on credentialing applications still in process, reviewing and working assigned Echo One App (Symed) alerts timely and efficiently
- Collaborate with the EPFS, Practice Management and other colleagues regarding insurance participation as well as assisting in the research and resolution of claim issues and/or inquiries potentially related to credentialing.
- Maintain provider confidentiality handling all PHI appropriately
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
