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Part Time Remote Credentialing Jobs in Tennessee

Full operational support including scheduling, billing, intake coordination, credentialing, and ... Compensation, Benefits & Stability: * Full-time and part-time W-2 employment * $70k with the ...

Full operational support including scheduling, billing, intake coordination, credentialing, and ... Compensation, Benefits & Stability: * Full-time and part-time W-2 employment * $70k with the ...

Full operational support including scheduling, billing, intake coordination, credentialing, and ... Compensation, Benefits & Stability: * Full-time and part-time W-2 employment * $70k with the ...

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Part Time Remote Credentialing information

What are the key skills and qualifications needed to thrive as a Part Time Remote Credentialing Specialist, and why are they important?

To thrive as a Part Time Remote Credentialing Specialist, you need a solid understanding of credentialing processes, attention to detail, and experience with healthcare compliance requirements, often supported by a background in healthcare administration or a related field. Familiarity with credentialing software (such as CAQH or Verity), document management systems, and knowledge of regulatory standards are typically required. Strong organizational skills, effective communication, and the ability to work independently are essential soft skills for remote work. These competencies ensure accurate and timely provider credentialing, regulatory compliance, and efficient collaboration with healthcare organizations.

What are some of the common challenges faced by part-time remote credentialing professionals, and how can they be managed?

Part-time remote credentialing professionals often encounter challenges such as maintaining consistent communication with providers and healthcare organizations, managing documentation across various systems, and keeping up with changing credentialing requirements. To manage these challenges, it's important to develop strong organizational skills, leverage secure digital tools for tracking and submitting documents, and establish regular check-ins with team members. Building a routine and staying up-to-date on industry standards can also help ensure tasks are completed accurately and on time.

What is a Part Time Remote Credentialing job?

A Part Time Remote Credentialing job involves verifying and maintaining the qualifications of professionals, such as doctors, nurses, or other healthcare providers, while working from home on a part-time basis. Credentialing specialists review documents, contact references, and ensure that all certifications and licenses are current and compliant with industry standards. This role is critical for organizations like hospitals, clinics, and insurance companies to ensure their staff meet regulatory and accreditation requirements. Working remotely allows for flexibility in work hours, making it ideal for those seeking work-life balance. Strong organizational skills, attention to detail, and familiarity with credentialing software are typically required.

What is the difference between Part Time Remote Credentialing vs Part Time Remote Medical Billing Specialist?

AspectPart Time Remote CredentialingPart Time Remote Medical Billing Specialist
Required CredentialsLicenses, certifications in healthcare credentialingMedical coding, billing certifications
Work EnvironmentRemote, healthcare offices, insurance companiesRemote, healthcare providers, billing companies
Industry UsageHealthcare, insurance, provider networksHealthcare, insurance, billing firms

Part Time Remote Credentialing focuses on verifying healthcare providers' credentials, while Part Time Remote Medical Billing Specialists handle billing and coding. Both roles are remote, require healthcare industry knowledge, but differ in specific certifications and daily tasks.

What are the most commonly searched types of Remote Credentialing jobs in Tennessee? The most popular types of Remote Credentialing jobs in Tennessee are:
What are popular job titles related to Part Time Remote Credentialing jobs in Tennessee? For Part Time Remote Credentialing jobs in Tennessee, the most frequently searched job titles are:
What job categories do people searching Part Time Remote Credentialing jobs in Tennessee look for? The top searched job categories for Part Time Remote Credentialing jobs in Tennessee are:
What cities in Tennessee are hiring for Part Time Remote Credentialing jobs? Cities in Tennessee with the most Part Time Remote Credentialing job openings:
Physician Virtual Primary Care

Physician Virtual Primary Care

Premise Health

Brentwood, TN • On-site, Remote

Part-time

Retirement, PTO

Re-posted 5 days ago


Premise Health rating

8.0

Company rating: 8.0 out of 10

Based on 43 frontline employees who took The Breakroom Quiz

88th of 882 rated healthcare providers


Job description

Premise's mission is to help people get, stay, and be well. We hope you will join us in our mission and experience why amazing health starts with amazing healthcare. For more information, visit www.jobs.premisehealth.com.
As a Part Time Remote Physician Virtual Primary Care, you'll provide care to client employees and their dependents of all ages for Premise Health's National Virtual Health team. The scheduled hours are 2 10 hour days per week, including 2 to 4 overnight shifts per year, plus rotating weekends and holidays.
What You'll Do
    • Provide medical consultations including the diagnosing and treatment via the video or phone for Premise Health's member population.
    • Provides episodic, preventive, and acute health care to patients.
    • Provide occupational health services (i.e., injury care and related follow-up, as necessary)
    • Conducts histories and examinations and prescribes medications and/or medical treatments based on best practice standards
    • Develops treatment plans in collaboration with members; educates and advises on medical issues as appropriate
    • Provides referrals both internally and externally to appropriate medical resource or specialty
    • Evaluates the effectiveness of medical care and monitors progress of members
    • Identifies emergency situations and provides or directs care as appropriate within legal scope of practice and as defined by Premise Health credentialing process
    • Participates in the development of annual program goals and objectives
    • Maintains medical records using EMR
    • May formulate and administer health programs as needed
    • May require other duties as assigned
    • Office/non-health related job functions
      • Participate in regular Medical Staff activities and responsibilities, including, without limitation, attendance at Medical Staff meetings, and complete all Company sponsored virtual health training
      • Consistent with Company's procedures and policies, Physician shall prepare and complete, timely and accurate medical and other records with respect to the services and treatment rendered to any member by providing Physician
      • Meet or exceed quality, patient satisfaction, connectivity service level agreements and Medical Group standards

What You'll Bring
  • Education:
    • Graduate of an accredited medical school
    • MD or DO Licensing
    • Current unencumbered license to practice medicine in good standing in at least one state in the United States.
    • Complete and receive credit for continuing medical education as required by state licensure requirements
    • Must be Board Certified in Occupational Medicine, Internal Medicine, Family Practice, Primary Care or Emergency Medicine or Board Eligible in aforementioned practice areas. If Board Eligible, must take certification exam within twelve months of date of hire.
    • Maintain board eligibility and/or obtain and maintain board certification in the designated specialty throughout the term of this Agreement
    • Board Certification under ABMS or AOA required
    • Specialized field
    • e.g. Specialty focus in Family Medicine, Emergency Medicine, Urgent Care and Internal Meds/Peds or Occ med
    • Must have current state and federal DEA certification
    • State and federal laws
      • Obtain and maintain all appropriate approvals to prescribe and dispense drugs under applicable state and federal laws
    • DEA
      • Active, unrestricted DEA Certification in the state(s) licensed
      • Drug Enforcement Agency Certificate (DEA) with expiration date

    Experience:
    • At least three years of post-residency clinical experience
      • 3-years post residency and board eligible
    • Experience in a primary care, urgent care or emergency room setting. Occupational healthcare experience, a plus
    • Meet Premise Health credentialing requirements.
    • Prior telehealth health experience preferred.
      • Other: Residence
    • Option to live and work anywhere virtually
    • Must have quiet uninterrupted space with door; additionally, must comply with Premise Health technology standards for remote workers.

    Knowledge and Skills:
    • Knowledge of Internet software, Spreadsheet and Word Processing software
    • Knowledge and experience with Electronic Medical Records preferred.
    • Knowledge of workplace health and safety concepts and OSHA recordkeeping a plus.
    • Strong communication and technical skills
    • Strong virtual health member satisfaction, quality, communication skills, including both verbal and written, listening skills, analytical and the ability to demonstrate empathy.

Work-life balance is at the foundation of how decisions are made and where Premise is headed. We can only help people get, stay, and be well if we do the same for ourselves. In addition to competitive pay, Premise offers our part-time (between 20 and 29 hours per week) team members a 401(k) program with company match, paid holidays and vacation time, a company-sponsored wellness program, EAP, access to virtual primary care and virtual behavioral health at no cost for team members and their dependents. Additional benefits will be discussed once you connect with our Talent Acquisition team.
Premise is an equal opportunity employer; we value inclusion and do not discriminate based on race, color, religion, creed, national origin or ancestry, ethnicity, sex (including pregnancy and related conditions), gender identity or expression, sexual orientation, age, physical or mental disability, genetic information, past, current or prospective service in the uniformed services, or any other characteristic protected under applicable federal, state, or local law.

What Premise Health employees say

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Premise Health logo

About Premise Health

Sourced by ZipRecruiter

Premise Health is the world's leading direct healthcare provider and one of the largest digital providers in the country, serving over 11 million eligible lives across more than 2,500 of the largest commercial and municipal employers in the U.S. Premise partners with its clients to offer fully connected care - in-person and in the digital environment. It operates more than 800 onsite and nearsite wellness centers in 45 states and Guam, delivering care through the Digital Wellness Center and onsite, nearsite, mobile, and event solutions. Premise delivers value by simplifying complexity and breaking down barriers to give diverse member populations access to convenient, integrated, high-quality care. We offer more than 30 products, delivering the breadth and depth of care required to serve organizations' total populations. The result is healthcare that meets the needs of members and their families, helping them live healthier while lowering costs for organizations.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Brentwood, TN, US

Year founded

1975