Licensure & Certification Specialist (Remote)

AMSURG•Remote,

3d•Remote

About The Position

This position provides support to the provider credentialing department. The role involves credentialing and re-credentialing individual providers related to the operation of Anesthesia and ASC entities, as well as enrollment and revalidation of providers with government and commercial payors. The specialist will maintain regular contact with state licensing agencies and federal regulatory agencies, such as Medicare carriers, to enroll providers into the Medicare program. A key aspect of the role is providing timely turnaround of credentialing information and federal projects, working within strict time frames, and exercising discretion to maintain confidentiality. The position also requires working with state and government agencies, legal representatives, and contributing to the research and development of departmental policies and procedures. Other projects as assigned will require collaboration with co-workers for successful completion. Regular and reliable attendance is required.

Requirements

Excellent PC Skills including Microsoft Word and Adobe Acrobat experience
Able to type proficiently and accurately while recording entries into multiple Licensure & Certification databases to track work status
Able to read, understand, and translate legalese and state statutes and regulations, both verbally and in writing, for relevant stakeholders
Minimum of one (5) years’ experience as detailed above is required; in lieu of a degree

Nice To Haves

Experience drafting and completing Medicare 855B applications is preferred
Associate’s Degree from an accredited College or University
Bachelor’s Degree, Credentialing Certification or experience, or Paralegal Certification or experience preferred
CPCS Certification is desirable
Exceptional interpersonal skills, organizational skills, attention to detail, and accuracy are needed to perform in this work environment
Able to handle multiple, simultaneous tasks effectively and efficiently while maintaining a professional, courteous manner
Able to work well with others
Strong verbal and written communication skills required
Must be detail oriented and organized
High integrity, including maintenance of confidential information
Must be able to exercise good judgment and positively influence and lead others, including handling confrontations with poise and efficiency
Based on business need, the ability to work a flexible schedule, including some evenings and weekends as approved in advance
Must be able to work under pressure and strict time frames occasionally
Must have good research skills

Responsibilities

Credentialing and re-credentialing individual providers related to the operation of Anesthesia and ASC entities
Enrollment and revalidation of providers with government and commercial payors
Regular contact via telephone and correspondence with state licensing agencies and federal regulatory agencies such as Medicare carriers to enroll providers into the Medicare program
Provide timely turnaround of credentialing information and federal projects
Work within a strict time frame of setting priorities, using discretion to exercise confidentiality
Work with state and government agencies, and legal representatives
Research and help to develop policies and procedures for the department
Other projects as assigned requiring the ability to work with other co-workers toward successful completion
Regular and reliable attendance is required