- Manage credentialing processes for all clinical staff, ensuring compliance with guidelines and standards.
- Evaluate, analyze, and coordinate all aspects of credentialing for assigned facilities and payer credentialing partners.
- Review and audit credentialing applications for completeness, accuracy, and compliance.
- Coordinate timely submission of provider credentialing applications to external vendors and facilities.
- Communicate credentialing changes to facilities and providers on a regular basis.
- Monitor turnaround times for processing credentialing applications and escalate issues as needed.
- Provide updates to Owners and Leadership on credentialing status at assigned facilities.
- Participate in process improvements for credentialing procedures.
- Manage provider access to facility EHR systems and practice systems.
- Maintain accurate records of credentialing requests and activities.
- Drive to facilities or other practice locations as required.
- Participate in Admin On Call rotation.
- Perform other administrative tasks as assigned.
- Minimum of 2 years of credentialing experience, preferably in the post-acute facility setting.
- Valid Drivers License and reliable transportation.
- Ability to work independently in a high pace environment.
- Exceptional organizational skills.
- Strong communication skills with the ability to interact effectively with various stakeholders.
- Competitive salary range: $50,000 - $60,000 annually
- 401(k) plan: Immediate entry for employee contributions and employer match after 6 months of employment.
- Health insurance: three plans available with the option of 100% employer paid premiums for employee coverage.
- Dental insurance: 100% employer premium paid for employee coverage.
- Vision insurance: 100% employer premium paid for employee coverage.
- Paid Time Off and 6 Paid Holidays.
- Life insurance and other optional benefits.
- Full-time position, Monday through Friday with occasional call assistance.
-
Credentialing Specialist
1 week ago
Charles River Community Health Brighton, United States**Credentialing Specialist** · **CLASSIFICATION/STATUS**: Non-Exempt, Part Time, Permanent · **IMMEDIATE SUPERVISOR**: Director of Patient Accounts · **SUPERVISORY RESPONSIBILITIES**: None · **SALARY: Band 3**:($22.00-$30.50/hour) · **WHO YOU ARE**: · **YOUR ROLE & IMPACT** · **R ...
-
Credentialing Specialist
3 weeks ago
Summit Medical Consultants Llc Denver, United StatesCredentialing Specialist · Company: Summit Medical Consultants · Location: Greenwood Village, Colorado · Position Type: Full-time, Exempt · About Us: · Summit Medical Consultants is a rapidly expanding physician owned medical practice committed to providing exceptional clinical ...
-
Credentialing Specialist
1 week ago
Kaiser Permanente Denver, United States Paid Work* MUST RESIDE IN COLORADO * · Job Summary: · Requests and reviews primary source information and verifications, with regular review from manager. Identifies and plans for resolution of standard and nonstandard gaps in vendor relationships and escalates, as needed. Serves as a mai ...
-
Credentialing Specialist
1 week ago
Orthopedic Centers of Colorado Denver, United StatesJob Description · Job DescriptionDescription:POSITION OVERVIEW · The Credentialing Specialist is responsible for maintaining active status for all providers by successfully completing initial and subsequent credentialing packages as required by hospitals, surgery centers, commerc ...
-
Healthcare Credentialing Specialist
3 days ago
Matrix Providers Denver, United StatesMatrix Providers is seeking an experienced Healthcare Credentialing Specialist · Join our corporate team working from your home-based office in the U.S. · Our ideal candidate will have a thorough understanding of the Healthcare credentialing process, requirements, and compliance ...
-
Cardiovascular Tech Prn
2 weeks ago
HCA Florida Englewood Hospital Englewood, United States**_**NEW RATES AVAILABLE**_**: · **Introduction** · Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Cardiovascular Tech PRN with HCA Florida Englewood Hospital you can be a part of an organization that is devoted to gi ...
-
Citizant Denver, United States Full timeJob Description · Salary Range: $41,600 - $50,300 (depending on experience). · ** Duties and Responsibilities:** · Enrollment Process Management: · Schedule appointments and/or service walk-ins for Personal Identity Verification (PIV) Card Activations, Enrollments, Certificate Up ...
-
Financial Professional
1 week ago
Northwestern Mutual Aurora Aurora, United StatesOur financial advisors at Northwestern Mutual help clients reach their goals by developing and implementing financial plans to show clients where they are today, plan where they want to go tomorrow and provide the financial tools and support to help them get there. As you build y ...
-
Addiction Technician or Specialist/swing
4 days ago
Aurora Mental Health & Recovery Aurora, United StatesAurora Mental Health & Recovery (AMHR) is seeking Addiction Technicians or Specialists to support direct clinical care to clients, through the completion of many essential duties that includes intakes and discharges, clinical documentation, counseling, case management and resourc ...
-
Revenue Cycle Specialist
2 weeks ago
Espire Dental Englewood, United StatesJob Details · Level · Entry · Job Location · Espire Dental - PSC - Greenwood Village, CO · Position Type · Full Time · Education Level · High School · Salary Range · $ $28.00 Hourly · Travel Percentage · Negligible · Job Shift · Day · Description · Summary: · The I ...
-
Orthopedic in Colorado
2 weeks ago
AB Staffing Englewood, United StatesOrthopedic - Englewood, CO 80110 · Are you ready to explore new places while building your resume? At AB Staffing, we specialize in placing Travel Nurses in facilities throughout the United States. Our travel assignments range from three (3) months to one year, and can be added o ...
-
Medical Office Specialist
3 weeks ago
Rocky Vista University Englewood, United StatesLocation, Job Title, Benefits · Rocky Vista University Health Center in Englewood, CO has an opening for an · Medical Office Specialist (Full-Time) · To be considered for this position applicants should submit a resume/cover letter and salary requirements on our Careers page at ...
-
elv early education manager
3 weeks ago
CIG Corp Englewood, United StatesJob Posting: Early Learning Ventures - Education Manager · Company Overview: Join Early Learning Ventures (ELV), a nonprofit organization dedicated to expanding access to high-quality Early Care and Education (ECE) services. We employ a groundbreaking shared services model, coll ...
-
Accounts Payable Specialist
2 weeks ago
Rocky Vista University Englewood, United States· Rocky Vista University · Rocky Vista University is an Equal Opportunity/Affirmative Action employer that does not discriminate against an employee or applicant based upon race, color, religion, gender, national origin, disability, or veteran status. Rocky Vista University is ...
-
Accounts Payable Specialist
3 weeks ago
Rocky Vista University Englewood, United StatesRocky Vista University in Englewood, CO has an opening for a · Accounts Payable Specialist (Full-Time) · To be considered for this position applicants should submit a resume/cover letter and salary requirements on our Careers page at . · SALARY: · $ $23.65+ per hour, the posted s ...
-
Part Time School Psychologist
1 week ago
The Joshua School Centennial, United States Part time***THIS POSITION IS ONLY FOR 3 DAYS A WEEK*** · COME JOIN OUR TEAM AT THE JOSHUA SCHOOL · "The Joshua School is committed to helping each individual with Autism Spectrum Disorder and Developmental Disabilities attain the highest quality of life, valuing each unique mind, body, an ...
-
Accounts Payable Specialist
3 weeks ago
Rocky Vista University Englewood, United StatesLocation, Job Title, Benefits · Rocky Vista University in Englewood, CO has an opening for a · Accounts Payable Specialist (Full-Time) · To be considered for this position applicants should submit a resume/cover letter and salary requirements on our Careers page at · SALARY: · $ ...
-
Programmatic Enrollment Specialist
1 week ago
Rocky Vista University Englewood, United States· Rocky Vista University · Rocky Vista University is an Equal Opportunity/Affirmative Action employer that does not discriminate against an employee or applicant based upon race, color, religion, gender, national origin, disability, or veteran status. Rocky Vista University is ...
-
Medical Assistant Care Coordinator
3 weeks ago
Rocky Vista University Englewood, United States· Rocky Vista University · Rocky Vista University is an Equal Opportunity/Affirmative Action employer that does not discriminate against an employee or applicant based upon race, color, religion, gender, national origin, disability, or veteran status. Rocky Vista University is ...
-
RC Technical Consultant, Construction
2 weeks ago
Travelers Insurance Englewood, United StatesWho Are We? · Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture ...
credentialing specialist - Englewood, United States - Summit Medical Consultants PLLC
Description
Job Description
Job DescriptionCredentialing Specialist
Company: Summit Medical Consultants
Location: Greenwood Village, Colorado
Position Type: Full-time, Exempt
About Us:
Summit Medical Consultants is a rapidly expanding physician owned medical practice committed to providing exceptional clinical services across all of Colorado. With a focus on delivering compassionate and coordinated care, we collaborate closely with healthcare professionals and our partner facilities to ensure the best outcomes for our patients.
At Summit, we hold our over 100 Providers and team members in the highest regard, recognizing the invaluable contributions each individual makes to the care of our patients and the success of our organization. As a valued member of our team, we ensure that every employee receives comprehensive benefits, effective from the first of the month following their date of hire. Additionally, we offer a hybrid work schedule to provide some flexibility and accommodate individual needs.
Position Overview:
We are seeking a motivated Credentialing Specialist to join our dynamic team. The Credentialing Specialist will be responsible for managing and maintaining internal credentialing files for our clinical staff, as well as coordinating and submitting credentialing to external vendors, including insurance, post-acute care facilities and hospitals. This role reports to the Practice Manager and offers an exciting opportunity to contribute to the growth and success of Summit Medical Consultants.
Responsibilities:
Requirements:
Benefits:
Schedule:
Summit Medical Consultants is an equal opportunity employer.
