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CREDENTIALING ASSOCIATE

Bienville Orthopaedic Specialist LLC

Vancleave, MS • On-site

Full-time

Re-posted 22 days ago

Job description

Essential Job Duties

  • Complete provider initial and re-credentialing applications and submit with supporting documentation to all requested payers, hospitals, and ASCs
  • Monitor application progress and follow up with payers until “in network” status has been confirmed/received
  • Revalidation and recredentialing requests issued by government payers
  • Maintain copies of providers’ required credentialing documents (current state licenses, DEA certificates, malpractice coverage, etc.)
  • Track all state/medical licenses, DEA, and Board Certification/Recertification expirations; assist providers with renewals to ensure they are completed in a timely manner.
  • Track CME and send quarterly updates to providers.
  • Maintain Physician Extender (PE) Compliance and ensure that Audit Ready files remain up to date
  • Renew MACM applications yearly, track expenses for providers and renew memberships/subscriptions
  • Oversee malpractice claims and communicate with MACM, attorneys, and provider(s)
  • Manage provider data via online databases and systems such as CAQH, PECOS, NPPES, etc.
  • Responsible for PrimeSource Verification of State license, DEA, and Board Certification
  • Assist physicians with ABOS WLA each year
  • Manage Resident Rotations for BOS providers who participate in Memorial Hospital’s Family Medicine program
  • Create, manage, and maintain emergency department on-call schedule for physicians using prior year’s call schedule as reference
  • Primary liaison for call schedule changes between Bienville physicians, hospital staff, and Bienville’s answering service to ensure 24/7 coverage
  • Assist with administrative assistant duties and other duties as assigned/needed

Additional Requirements:

  • Excellent verbal and written communication skills
  • Must demonstrate a high degree of trust and confidentiality
  • Must get along well with others and have a team-oriented work ethic
  • Ability to work independently and assume assigned responsibilities
  • Ability to be flexible and function well in a fast-paced environment with multiple interruptions
  • Must be able to travel to all clinic locations and work overtime as needed

Position is Full Time, Non-exempt, Hourly

Work Hours: Monday - Friday 8am-5pm (Occasional after hours support if needed)