Credentialing Specialist

Pain Specialist of America LLC•Austin, TX

99d•Remote

About The Position

Pain Specialists of America ("PSA") is a Texas-based, multisite comprehensive pain management company that includes over 15 locations. We are seeking talented professionals who can support the business and help it achieve its strategic objectives. Job Summary Responsible for all aspects of the credentialing, re-credentialing and privileging processes for all medical providers who provide patient care at PSA. Responsible for ensuring providers are credentialed, appointed, and privileged with health plans, hospitals and patient care facilities. Maintain up-to-date data for each provider in credentialing databases and online systems; ensure timely renewal of licenses and certifications. This person will work remotely but should reside in Texas.

Requirements

Two years of relevant credentialing experience
High school diploma or equivalent, associate degree preferred
Certified Provider Credentialing Specialist (CPCS) required
Knowledge and understanding of the credentialing process.
Ability to organize and prioritize work and manage multiple priorities.
Excellent verbal and written communication skills including, letters, memos and emails.
Excellent attention to detail.
Ability to research and analyze data.
Ability to work independently with minimal supervision.
Ability to establish and maintain effective working relationships with providers, management, staff, and contacts outside the organization.
Proficient use of Microsoft Office applications (Word, Excel, Access) and internet resources.

Responsibilities

Compiles and maintains current and accurate data for all providers.
Completes provider credentialing and re-credentialing applications; monitors applications and follows-up as needed.
Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers.
Maintains corporate provider contract files.
Maintains knowledge of current health plan and agency requirements for credentialing providers.
Sets up and maintains provider information in online credentialing databases and system.
Tracks license and certification expirations 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 to The
Tracks license, DEA and professional liability expirations for providers.
Maintains files and information in credentialing database.
Audits health plan directories for current and accurate provider information.
Maintains confidentiality of provider information.
Provides credentialing and privileging verifications
Performs other duties as assigned.