MD EyeCare Services Corporate

  • Credentialing Specialist

    Job Locations US-TX-Dallas
    Posted Date 3 weeks ago(3/28/2018 10:25 AM)
    Job ID
    2018-2320
    # of Openings
    1
    Category
    EyeCare Services Partners
    Type
    Regular Full-Time
  • Overview

    ESP Logo

    EyeCare Services Partners is creating the nation’s leading eyecare services company in both quality and scale by consolidating ophthalmologic and optometric practices and ambulatory surgery centers that are locally dominant and clinically differentiated. We provide a patient centric model that delivers outstanding care and quality outcomes through our providers and staff by leveraging our comprehensive array of best-in-class technology, processes and managerial infrastructure.  This is your opportunity to join one of the areas most recognized leaders in ophthalmology and optometry. We are a nationally recognized leader in EMR and technology with an excellent clinical support team and dynamic leadership.  We are committed to customer service, and making every interaction extraordinary while inspiring the complete confidence of our patients. Our employees contribute directly to the growth and success of our practices, and take pride in being a member of our team. We strongly believe that the manner in which our patients and customers are treated by our employees is as important as the services provided by the doctor.

     

    The Credentialing Specialist is responsible for the health plan credentialing function for all healthcare professionals employed and ASC’s owned by ESP.  This position reports directly to the Director of Credentialing.  The Credentialing Specialist will actively process applications for initial and re-credentialing with health plans and work closely with the Credentialing Project Coordinator on various project oriented jobs.

    Responsibilities

    • Create and/or maintain provider’s CAQH file.
    • Initiate enrollment and prepare required applications with various health plans for new and established providers as directed and independently at times.
    • Handle any re-credentialing requests from commercial payors.
    • Update databases for tracking of file progress.
    • Communicate enrollment status to leadership and other internal departments for scheduling and billing purposes.
    • Pro-actively track and follow-up with payors to obtain effective dates with the plans.
    • Meet time-sensitive deadlines

     

    Qualifications

    The Credentialing Specialist Qualifications:

    • High School Diploma required; Bachelor’s Degree preferred.
    • At least two years in healthcare credentialing, patient registration, provider setup, billing or medical policies.
    • Advanced knowledge of applicable credentialing and licensing requirements for medical providers and ASC’s.
    • Experience with and knowledge of Medicare, Medicaid, TriCare and commercial payors provider enrollment and credentialing requirements.
    • Resourceful working under pressure in a fast-paced environment.
    • Demonstrated problem-solving and customer service skills.
    • Excellent verbal and written communication skills.

    In Turn We Will Provide:

    • Benefits to full time team members that include comprehensive medical, dental and optical coverage, 401K and short and long term disability.
    • Company paid life insurance.
    • Paid holidays and generous paid time off.
    • Paid parking where applicable.
    • Team oriented working environment where you are heard and respected.
    • Clear career ladder opportunities.

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