Credentialing Specialist

Description

Are you interested in making a difference in patient care? Learn about our unique culture of respect, growth, innovation, the best patient care, and how we give back to the community.

At United Urology Group , our employees are at the heart of our mission and have incredible opportunities to impact our patients' lives with their urologic care.

• We foster a culture that thrives on compassion, teamwork, integrity, and diversity, all of which start with our staff!
• We deliver a cohesive approach to urologic care that provides patients with access to experienced specialists, a superb team of healthcare professionals, and the most advanced technology for patient treatments and therapies.
• We offer competitive salaries and a great work / life balance : enjoy your weekends!
• UUG offers outstanding benefits, including tuition reimbursement, health, dental, and vision insurance, corporate discounts, and much more!

United Urology Group is regarded as the leading urology network in the country. Our Urology Group Affiliates consist of Chesapeake Urology, Arizona Urology- Phoenix & Scottsdale, Arizona Urology Tucson, Colorado Urology & Tennessee Urology.

Position Summary :

Credentialing Specialists are responsible for supporting tasks associated with credentialing, payer enrollment, privileging and maintaining expiring documents for all providers and Ambulatory Surgery Centers (ASC) of United Urology Group, and maintaining the credentialing database.

Primary Duties & Responsibilities :

• Adheres to all United Urology Group’s policies and procedures.
• Communicate directly with providers during the onboarding process to obtain all necessary data and documents to begin the credentialing and payer enrollment process.
• Update the CAQH applications as needed and work within the department to keep information current.
• Assists providers with licensure, DEA, and CDS applications.
• Enters provider and facility information into United Urology Group’s credentialing database.
• Completes the payer enrollment process for providers, office locations, and ASCs. Follows up on enrollment progress and communicates effective dates of enrollment.
• Assists providers with obtaining hospital and external ASC privileging applications. Manage reappointment timeless to ensure continuity of care.
• Prepares the provider files for the Medical Director's approval for privileging at Untied Urology Group’s ASCs. Manage reappointment timeless to ensure continuity of care.
• Maintains expirable documents for providers and ASCs, including DEA, CDS, and office and ASC CLIA licenses.
• Investigate unresolved or complex issues, compile necessary information, and forward data to appropriate staff members for resolution.
• Communicates with providers, groups, and company peers to maintain overall contractual compliance.
• Responsible for the overall accuracy of the credentialing database, assuring that the information is current and that information is presented internally and externally in a timely and professional manner.
• Maintains the privacy and security of all confidential and protected health information.
• Uses and discloses only that information that is necessary to perform the function of the job.
• Maintain relationships with Anesthesia groups that provide services at the United Urology Group’s ASC to ensure timely provider privileging.
• Perform other office duties as assigned by manager / director.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee for this job.

Duties, responsibilities, and activities may change at any time, with or without notice.

Qualifications

Qualifications :

• High School Diploma or GED required.
• Two to four years of medical credentialing experience required.
• Credentialing and database experience preferred.

Knowledge, Competencies & Skills :

• Excellent customer service skills.
• Demonstrated excellent verbal and written communication, interpersonal, and organizational skills.
• Must be fluent in Microsoft Office computer software.
• Strong attention to detail.
• Ability to multi-task and work in a fast-paced environment.
• Ability to type a minimum of 40 words per minute.
Direct Reports :
• N / A.
• N / A.

Travel :

This position doesn’t require any travel.

Physical Requirements for the Job :

• Regularly required to sit and stand for extended periods.
• Involves standing, sitting, walking, bending, stooping, and twisting.
• Requires full range of body motion, including manual and finger dexterity and eye-hand coordination.
• May be required to help to transfer the patient.
• Occasionally lifts and carries items weighing up to 40 lbs.

Equal Opportunity Employer : United Urology Group and its affiliate practices are an equal opportunity employer. We do not discriminate based on race, color, religion, age, sex, national origin, disability, veteran status, or sexual orientation.

The successful candidate(s) for any UUG position will be subject to a pre-employment background check.

Actual compensation offered to candidates is based on work experience, education, and / or skill level.

Benefits - A Best Place to Work

Competitive salary and benefits packages

In addition to competitive salaries, Chesapeake Urology offers :

• Competitive salary
• Health, dental, and vision insurance
• Health savings account
• Flexible spending account
• Dependent care flexible spending account
• Life insurance
• Voluntary short-term and long-term disability
• Tuition reimbursement
• 401K plan with an employer contribution
• Profit-sharing
• PTO accrual
• Corporate discounts
• Paid holiday
• Most positions fall under our normal business hours, Monday to Friday, so your weekends are free!

More specific information on our salary and benefits is available during your employment interview.