Credentialing Specialist
About The Position
OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. Our team is bringing together leaders to the market place to help drive OneOncology’s mission and vision. This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, urology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve.
Requirements
- Proficient with MS Office Suite (word, excel) and web-based applications
- Ability to maintain verbal and written communications in a confidential manner
- Detail oriented with strong organizational skills
- Excellent interpersonal skills – team player who can prioritize multiple responsibilities, manage a large workload within tight deadlines – works well under pressure and consistently meets deadlines, readily adapts to change, and excels in a productivity-based environment
- Excellent verbal and written communication skills
- Demonstrates research and problem-solving skills
- High school diploma and 2+ years of related experience.
- Industry experience leading credentialing activities in large provider practice (or multiple practices) is required
Nice To Haves
- Bachelor’s degree preferred.
- Training experience preferred but not required
- Certifications preferred but not required
Responsibilities
- Credentialing and re-credentialing of physicians and allied health professionals
- Completion, submission and tracking of credentialing applications with all managed care organizations and hospitals.
- Apply and validate hospital privileges
- Obtain malpractice insurance policy
- Notification to staff of completion of credentialing for scheduling and billing
- Maintain and update CAQH online credentialing application for all providers quarterly.
- Database management/provider files
- Maintain vital provider credentialing information via technology tool and hard copies of documents in provider files stored on OneOncology platform.
- Tracking and maintaining all clinical licenses for nursing, pharmacy, and lab personnel
- Provider continuing education
- Track continuing education credits for all providers
- Notify providers of any deficiencies
- Submit documentation if providers are audited
- Termination of physician and/or allied health professional
- Contact all MCO/hospitals/EMR to remove provider who has left practice, within 30 days of termination.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
