Credentialing Specialist

IPM Credentialing SpecialistIndependence Physician Management (IPM) was formed in 2012 as the physician services unit. IPM develops and manages multi-specialty physician networks and urgent care clinics within the Acute Care and Behavioral Health Divisions. A subsidiary of UHS, IPM operates in 13 markets across 7 states – and counting. We help doctors manage their practices and clinical procedures so they can concentrate on caring for their patients.The IPM Credentialing Specialist ensures that the credentialing requirements for governmental agencies and commercial managed care insurers/networks are met and managed timely so that physicians are enrolled in and maintain active credentialing status with such entities. They are also responsible for credentialing, as assigned, to other IPM physician group models.Job Duties Include:Submits and follow up on credentialing to all contracted commercial payors and government agencies timely and accurately.Supports other IPM locations with credentialing as needed and maintains close working relations with appropriate contacts to keep them well informed.Maintains appropriate tracking of time and promptly reports it on a weekly basis as established by the Credentialing Department.Enters and maintains data in the credentialing database, Intellisoft, according to established data entry rules and policies.Ensures that demographic changes to contracted physicians are promptly reported to all contracted managed care companies and government agencies.Performs database queries and reports as needed.Maintains managed care contract files (paper and electronic) and department databases for contracts and credentialing.Benefit & Rewards HighlightsChallenging and rewarding work environmentCompetitive compensation & generous paid time offExcellent medical, dental, vision and prescription drug plans401(K) with company match and discounted stock planCareer development opportunities within UHS and its 300+ subsidiaries!Pet insuranceQualificationsHigh School Diploma/GED required.Bachelor's degree preferred, but commensurate work experience in progressively responsible administrative positions will be considered.3 – 5 years of experience with physician credentialing and/or physician contracting requirements in a managed care environment.Comprehensive knowledge of the managed care industry, with specific emphasis on physician credentialing and/or physician contracting requirements.A broad understanding of the managed care contracting process is required and knowledge of managed care payers' processes.Responsible for credentialing activities as it relates to initial credentialing, re-credentialing, and credentials modification.Ability to communicate effectively both verbally and in writing with internal departments, physicians, physician group management staff and managed care companies to achieve the necessary results required in the credentialing process and support of the Credentialing Department.EEO StatementAll UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.Avoid and Report Recruitment ScamsWe are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information. At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.