Job Information
BayCare Health System Credentialing Specialist in Concourse Center, United States
BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area.
Position Details:
Location: Remote (must reside in the State of Florida)
Status: Full Time (non-exempt)
Shift: 7:30 AM to 4:00 PM (may vary)
Days: Monday through Friday
The Credentialing Specialist is a full-time remote position. This team member must currently reside in Florida.
Responsibilities
Responsible for initiating and maintaining credentialing, managed care provider enrollment and hospital privileges for BayCare physicians and providers in accordance with NCQA, CMS, AHCA, State and Federal guidelines and regulations, as well as Department Policies, to ensure compliance with credentialing standards.
Completes primary source verifications and assesses the provider's qualifications to ensure the providers meet BayCare's quality standards.
Documents all verifications and data in the credentialing database to produce credentialing files that meet BayCare's quality standards within the time frames required by BayCare.
Ensure providers remain compliant with all licensing and board requirements and will assist providers with renewals.
Enrolls and maintains managed care enrollment by providing updates to the health/payor plans and will resolve errors and issues by coordinating with the plans, the CBO and the Managed Care contracting department.
Why BayCare?
Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians. With the support of more than 30,000 team members, we promote a forward-thinking philosophy that is built on a foundation of trust, dignity, respect, responsibility, and clinical excellence. Our team members focus on tomorrow by achieving personal and professional success today. That is why you will thrive in our forward-thinking culture, where we combine the best technology with compassionate service. We blend high-tech with high touch in ways that are advancing superior health care throughout the communities we serve.
BayCare offers a competitive total reward package including :
Benefits (Health, Dental, Vision)
Paid time off
Tuition reimbursement
401k match and additional yearly contribution
Yearly performance appraisals and team award bonus
Community discounts and more
AND the Chance to be part of an amazing team and a great place to work!
Certifications and Licensures
- Preferred – CPCS (Credentialing)
Education
Required HS Diploma or Equivalent GED
Preferred associate or bachelor’s degree preferred.
Experience
- Required - 1 year Credentialing or 1 year Managed Care
Equal Opportunity Employer Veterans/Disabled
Position Credentialing Specialist
Location Tampa:Concourse Center | Business and Administrative | Full Time
Req ID null