Credentialing Specialist

Credentialing SpecialistClearview Cancer Institute is north Alabama's leading cancer treatment facility. For over 30 years Clearview Cancer Institute has provided leading-edge treatment and compassionate care to those diagnosed with cancer or blood disorders. Clearview offers every service and amenity needed in an outpatient setting and our dedication to research and involvement in Phase I-IV clinical trials gives our patients the opportunity to receive potentially life-saving treatment options.Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.Job PurposeThe Credentialing Specialist is responsible for maintaining active status for all providers by successfully completing initial and subsequent credentialing packages as required by hospitals, commercial payers, Medicare, and Medicaid.Essential Job FunctionsMaintain individual provider files to include up to date information needed to complete the required governmental and commercial payer credentialing applicationsUpdate each provider's CAQH database file timely according to the schedule published by CMSApply for and renew annually all provider licenses; Professional, DEA, Controlled SubstanceComplete revalidation requests issued by government payersComplete credentialing/re-credentialing applications to add providers to commercial payers, Medicare, and MedicaidCredential new providers and re-credential current providers with hospitals at which they hold staff privilegesMaintaining online document storage; labeling and updating paper filesOther duties as assignedQualificationsKnowledge of provider credentialingExcellent computer skills including Excel, SharePoint, Word, and Internet useDetail oriented with above average organizational skillsPlans and prioritizes to meet deadlinesExcellent customer service skills; communicates clearly and effectivelyEducation/ExperienceHigh School Diploma or GED2 years credentialing experience preferred2 years medical office experience requiredWorking conditionsThis position works in a busy hematology/oncology clinic but has no direct patient contact. This person is responsible for the credentialing of physicians and physician extenders so interaction with both is required.Physical requirementsThis position requires the employee be able to sit at a desk for up to eight hours a day. It also requires standing and walking for up to two-thirds of the day on some days in order to complete tasks.Direct reportsThis is not a supervisory position. OneOncology