What are the responsibilities and job description for the Credentialing Specialist - Remote position at Forefront Telecare?
Forefront Telecare Inc. (an Access Telecare company) provides better behavioral health for all seniors. We offer virtual behavioral health and we follow the patient from wherever they may need our services.
JOB OVERVIEW:
Responsible for all aspects of the credentialing, recredentialing and privileging processes for all medical providers who provide patient care through Forefront TeleCare, Inc. Responsible for ensuring providers are credentialed, appointed, and privileged with hospitals and patient care facilities. Maintain up-to-date data for each provider in credentialing databases and online systems; ensure timely renewal of licenses and certifications.
ESSENTIAL FUNCTIONS INCLUDE BUT ARE NOT LIMITED TO:
1. Compiles and maintains current and accurate data for all providers.
2. Completes provider credentialing and recredentialing applications; monitors applications and follows-up as needed.
3. Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers.
5. Maintains knowledge of current hospitals and patient care facilities requirements for credentialing providers.
6. Sets up and maintains provider information in online credentialing databases and system.
7. Tracks license and certification expirations for all providers to ensure timely renewals.
8. Ensures practice addresses are current with health plans, agencies and other entities.
9. Processes applications for appointment and reappointment of privileges for Forefront TeleCare, Inc. and contracted hospitals and facilities.
10. Tracks license, DEA and professional liability expirations for all current providers.
11. Maintains Forefront TeleCare, Inc., appointment files, and information in credentialing database.
ADDITIONAL RESPONSIBILITIES:
1. Maintains confidentiality of provider information.
2. Provides credentialing and privileging verifications.
3. Performs other duties as assigned.
QUALIFICATIONS:
Education:
1. High school diploma or equivalent.
2. Associate degree preferred. Certification/Licensure: Certified Provider Credentialing Specialist (CPCS) preferred.
Credentialing Specialist Skills:
1. Knowledge and understanding of the credentialing process.
2. Ability to organize and prioritize work and manage multiple priorities.
3. Excellent verbal and written communication skills including, letters, memos and emails.
4. Excellent attention to detail.
5. Ability to research and analyze data.
6. Ability to work independently with minimal supervision.
7. Ability to establish and maintain effective working relationships with providers, management, staff, and contacts outside the organization.
8. Proficient use of Microsoft Office applications (Word, Excel, Access) and internet resources.
The above is intended to describe the general content and requirements for the performance for this position. It is not to be construed as an exhaustive statement of duties, responsibilities or requirements.
Forefront Telecare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status. Forefront Telecare is an E-Verify company.