Job Description
Salary:
Position Summary:
This position is responsible for coordinating and implementing activities related to the credentialing and privileging of the Revere Health Medical Staff in accordance with facility requirements, health plan requirements and other relevant standards
including NCQA, CMS and URAC.
Essential Job Functions:Works closely with contracted health plans and healthcare facilities to credential providers and assist providers in obtaining and maintaining facility privileges and plan network participation. Assists providers in maintaining state licensure, DEA licensure, and renewing individual and group malpractice insurance. Responsible for the accuracy and integrity of the provider data. Responsible for the evaluation of credentialing and re-credentialing files. Accurately analyzes the provider data to assure that all applicable requirements have been satisfied. Identifies any additional information needed, performs all necessary follow-ups, and investigates any missing, incomplete, or unclear information in preparation for submission and review. Manages and coordinates the credentialing/re-credentialing process for Revere Health Providers, which includes primary source verification including but not limited to the National Practitioner Data Bank, state licensing departments, malpractice insurers, educational institutions, board certifications and OIG sanctions list. Works closely with team members in coordinating efforts and maintaining
a high level of performance in the department.
Qualifications:
Hours:M-F 8am - 5pm. In office position
...experienced Floorhands and Leasehands at Twilight Drilling Ltd. At Twilight Drilling, it is our... ...also operate independently with minimal direction while producing results Ability to... ...support all industry, regulatory, and company standards, regulations, and policies...
...a busy schedule Im an owner operator so I drive trucks and run my company. My mom suddenly passed away and she was my child care provider. Im looking for someone affordable to make sure the 4 older kids get on the school bus. I also need a babysitter for my last 2 kids...
...Job Description Job Description NEMT (Non-Emergency Medical Transportation) Driver San Francisco / San Jose, CA Horizon Transportation is currently seeking NEMT (Non-Emergency Medical Transportation) Drivers to join our team of exceptionally skilled and committed...
...dynamic leader to spearhead our Sales Development Representative (SDR) team. As the leader of the SDR function, you'll play a pivotal... ...has a direct and material impact on our business. As an SDR Manager you will manage and lead a team of Sales Development Representative...
...ARMStaffing is seeking a travel nurse RN Wound Care for a travel nursing job in Silver Spring, Maryland.Job Description & Requirements... ...of Approval for Health Care Staffing Services Certification Contract & local rates may vary based on location and residency of...