Overview
Credentialing Specialist Jobs in Winter Haven, FL at Bond Clinic
Full Job Description
Bond Clinic strives to provide quality health care to Winter Haven and the surrounding region. Bond Clinic is a professional association comprising over 100 providers with 29 specialties. Founded in 1948, the clinic was one of the first businesses in downtown Winter Haven. Since then, our goal has been to bring comprehensive, personalized, state-of-the-art health care to our community.
Here at Bond Clinic, we will deliver high-quality health care compassionately, ethically, and efficiently. We will always attempt to treat our patients, our employees, and our colleagues with dignity. We promote our community by being a model corporate citizen and providing value to all our business partners. Bond Clinic is proud to be part of Winter Haven and the surrounding communities. In addition to providing excellent medical care, we regularly participate in community events and health fairs, partner with area colleges/trade schools to offer clinical training for students and support many local sports clubs and organizations through donations and sponsorships. We love our community and are active in making it the best it can be! Join a significant and growing community.
General Summary of Duties:Performs a variety of functions for all aspects of the enrollment and credentialing process of providers and their participation with affiliated health care plans/facilities.
Typical Physical Demands:May be exposed to short, intermittent, and/or prolonged periods of sitting and/or standing in performance of job duties. May also require some bending, stooping, stretching, and walking at times. Requires hand-eye coordination and manual dexterity sufficient to operate a computer/typewriter keyboard, photocopier, telephone, facsimile, calculator, and other office equipment. Require normal range of hearing and eyesight to prepare and communicate appropriate reports.
Occasionally requires lifting papers or boxes weighing up to 50 pounds. It is necessary to view and type on computer screens for long periods of time.
Typical Working Condition:Work is performed in an office environment.
Involves frequent contact with staff and the public.
Examples of Duties:(This list may not include all of the duties assigned)
Enroll new providers in health plans and existing providers in newly contracted health care plans to include compilation of confidential data
Knowledge of health plan enrollment and credentialing procedures.
Credential all providers to include; Physicians, Nurse Practitioners, Physician Assistants and Surgical Assistants with affiliated health plans/healthcare facilities.
Responsible for recredentialing of providers, which occurs every 2 -3 years.
Responsible for the enrollment of all hospital and practice-employed Nurse
Practitioners and Physician Assistants with the contracted health plans.
Maintain accuracy of provider database.
Maintain and track provider licensure, requesting current version from appropriate parties when necessary.
Develop and implement reporting mechanisms to keep providers and administrators apprised of providers health care plan status.
Coordinate with local community hospitals/surgery centers to ensure that proper documents are obtained and processed to determine hospital privileges.
Develop and maintain excellent working relationships with the health plan/facility contacts regarding provider enrollments and credentialing.
Maintains confidential…
Title: Credentialing Specialist
Company: Bond Clinic
Location: Winter Haven, FL
Category:
