by Kay Tay | Oct 20, 2023 | Uncategorized
**** Minimum of 5-years of credentialing/provider enrollment experience is required AND
A Current and Valid CPCS Certification are REQUIRED for this position ****
MAKE A DIFFERENCE AT OCHIN
OCHIN is a rapidly growing national nonprofit health IT organization with two decades of experience transforming health care delivery to drive health equity. We are hiring for a number of new positions to meet increasing demand. When you choose to join OCHIN, you have the opportunity to continuously grow your skills and do meaningful work to help fulfill our mission.
OCHIN provides leading-edge technology, data analytics, research, and support services to nearly 1,000 community health care sites, reaching nearly 6 million patients nationally. We believe that every individual, no matter their race, ethnicity, background, or zip code, should have fair opportunity to achieve their full health potential. Our work addresses differences in health that are systemic, avoidable, and unjust. We partner, learn, innovate, and advocate, in order to close the gap in health for individuals and communities negatively impacted by racism or other structural inequities.
At OCHIN, we value the unique perspectives and experiences of every individual and work hard to maintain a culture of belonging.
Founded in Oregon in 2000, OCHIN employs a growing virtual workforce of 1000+ diverse professionals, working remotely across 49 states. We offer a generous compensation package and are committed to supporting our employees’ entire well-being by fostering a healthy work-life balance and equitable opportunity for professional advancement. We are curious, collaborative learners who strive to live our values everyday: Learning, Heart, Belonging, and Impact. OCHIN is excited to support our continued national expansion and the increasing demand for our innovative tools and services by welcoming new talent to our growing team.
Base Pay Overview
The typical offer range for this role is minimum to midpoint, with the midpoint representing the average pay in a national market scope for this position. Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will consider a wide range of factors directly relevant to this position, including, but not limited to, skills, knowledge, training, responsibility, and experience, as well as internal equity and alignment with market data.
Position Overview
The Senior Crendentialing Specialist performs all aspects of the credentialing, privileging, and payor enrollment processes for providers under the OCHIN Collaborative or contracted third parties. The Specialist will manage credentialing applications, verify credentials, maintain provider files internally and externally with payor plans.
Essential Duties – ****Sr. Credentialing Specialist MUST hold a valid NAMSS Certification at the time of application****
- Timely processing of initial credentialing and re-credentialing applications in accordance with regulatory requirements (NCQA, HRSA/FTCA, Joint Commission, AAAHC, CMS, or other regulatory standards).
- Reviewing and analyzing credentialing applications and supporting documents for accuracy and completeness.
- Validating and verifying provider credentials (licensure, DEA, specialty board, certificates, professional liability, and other required documents) through the appropriate verification sources.
- Identifying discrepancies in information, conducting research and follow-up, and escalation of unresolved issues.
- Completing payer provider enrollment process, performing revalidations, maintaining CAQH profiles, NPPES registrations, provider data with payers and managing plan enrollment status in credentialing system.
- Maintenance of credentialing cycles, Expirables management, and Sanctions monitoring.
- Preparing provider credentialing summaries and reports for OCHIN management and OCHIN Collaborative members.
- External communications with providers, OCHIN Collaborative representatives, contracted third parties, hospitals, specialty boards, and health plans pertaining to credentialing activities.
- Internal communications with other departments related to provider enrollment information.
- Maintaining integrity, confidentiality, and accuracy of provider information.
- Compliance with department standard operating procedures and performance metrics.
- Maintaining current knowledge of credentialing standards and regulations to ensure compliance at a national level.
- Other duties as assigned.
Requirements
- Knowledge of credentialing, privileging, and provider enrollment regulatory standards
- Strong understanding of credentialing databases and reporting tools and/or the ability to quickly learn them
- Detail-oriented, analytical, problem solving, decision-making and organizational skills
- Ability to accomplish responsibilities accurately and expeditiously
- Excellent written, verbal, and interpersonal communication skills
- Proficient computer software and database skills
- Associate’s degree or commensurate experience
- Three (3) years of progressive experience in credentialing and provider enrollment
- NAMSS Certified Provider Credentialing Specialist (CPCS) preferred
Additionaly Qualifications for Senior Credentialing Specialist
- Bachelor’s degree preferred
- Five (5) years of progressive experience in credentialing and provider enrollment is required
- NAMSS Certified Provider Credentialing Specialist (CPCS) required
- Exhibits professional diplomacy while identifying, organizing, facilitating, and/or sustaining mutually beneficial partnerships with internal/external stakeholders
Work Location and Travel Requirements
OCHIN is 100% remote organization. Work from home requirements are:
- Ability to work independently and efficiently from a home office environment
- High Speed Internet Service
- It is a requirement that employees work in a distraction free workplace
- Travel may be required to support our member organizations on-site based on business requirements for OCHIN
APPLY HERE
by Kay Tay | Oct 20, 2023 | Uncategorized
This position can be a remote based position
Transform your Career at ECPI University
Since 1966, ECPI University’s employees have been dedicated to helping students achieve their academic and career goals through our unique education model. Our culture is to prioritize our students’ success through the support of our dynamic team and industry focused curriculum.
ECPI University provides a stable work environment, with professional growth opportunities, and competitive benefits. If you are interested in joining us in making a difference in students’ lives, we would love to hear from you to discuss the opportunity.
Benefits of Employment
ECPI University provides comprehensive benefits to full-time employees, some of which are highlighted below:
- Tuition scholarship program available to full-time employees and their immediate family members after 90 days of employment
- Competitive compensation and medical/dental benefit plans
- PTO and holiday pay
- 401(k) participation with possible employer contributions
- Part-time and Adjunct employees have a different list of benefits that can be provided when requested
The Senior Academic Support Coordinator under the direction of the Campus Director of Academic Affairs (CDAA) compiles and analyses general and academic reports, prepares, and sends student/faculty correspondence, coordinates faculty scheduling and monitors departmental needs for recruitment.
Responsibilities
- Compile and maintain academic reporting, meeting minutes and agendas.
- Manages student survey rollout and reporting each term.
- Manges all facets of new faculty hiring process, from application to employment.
- Communicates and analyzes student viability for certification testing.
Qualifications
Education/Experience
- 2-3 years of successful customer service in a professional environment
- Bachelor’s degree or equivalent combination of education and relevant work experience
Skills/Abilities
- Strong computer, email, data entry and excel skills, attentive to detail.
- Excellent oral and written communication skills
- Ability to organize and prioritize workflow to meet deadlines.
- Ability to work independently.
- Results driven, highly motivated, self-starter.
- Ability to work effectively as part of a team.
- Ability to multi-task in a fast-paced environment
Technical Requirements:
Reliable high-speed internet required.
Benefits of Employment
ECPI University provides comprehensive benefits, some of which are highlighted below:
- Competitive compensation and medical/dental benefit plans
- 401(k) participation with possible employer contributions
- Tuition scholarship program available to employees and their immediate family members after 90 days of employment
- Health Advocate
- Employee Assistance Program (EAP)
- Employee Discounts (i.e., Tickets at Work, Verizon Wireless, MetLife Pet Insurance)
- iPad/Computer Purchase Program
- Employee Referral Program
APPLY HERE
by Kay Tay | Oct 20, 2023 | Uncategorized
At GenesisCare we want to hear from people who are as passionate as we are about innovation and working together to drive better life outcomes for patients around the world.
Role Summary:
The Credentialing Assistant is responsible for assisting the Credentialing Coordinators, Manager and Director with projects along with clerical duties.
Your Key Responsibilities:
- Mail – they are responsible for incoming and outgoing correspondence. Logging, distributing, or directing to appropriate department. This includes sending credentialing signature pages to new physicians that we onboard and when they arrive back, distributing them to the appropriate coordinators.
- Fax – they are responsible for the department fax program, making sure they handle or distribute to the appropriate staff members.
- Demographic Verifications – they are responsible for all demographic verifications from the payers that come in via e-mail, phone, or fax.
- Scanning of the Medicare Applications past/present to eliminate the need for file cabinets.
- Scanning of the Medicaid Applications past/present to eliminate the need for file cabinets.
- Quarterly review of the CMS revalidation website to verify that all our providers/groups are current with their revalidations and responsible for keeping the spreadsheets up to date. They will also be required to add new providers and remove terminated providers.
- Checking the department credentialing e-mail inbox daily and distributing the information to the team.
- Checking the department main phone line voicemail daily and routing messages as applicable
- Coordinate and oversee the annual COI renewal project.
- Complete the Annual CV file clean-up project of all Scanned CV files.
- Ordering Department Supplies as needed.
- Must maintain office equipment for the department.
- Assisting the Director, Credentialing with Medicare terminations of providers.
- Assisting the Credentialing Coordinators with applications on large statewide projects or heavy re-credentialing peak periods.
- Updating Managed Care Monthly (MCM) Updates with provider’s effective dates for any applications that they are responsible for.
- Notifying Managed Care plans regarding practice changes such as add/term locations & add/term with the coordinators.
- Setting up folders for all states to include legal documents needed for Medicare applications
- Other duties may be assigned as the managed care industry changes.
Minimum Qualifications:
- Must have a High School Diploma or equivalent.
- Applicant must have Administrative Assistant/Secretarial Experience or Credentialing Assistant/Coordinator Experience for a minimum of 2 years.
- Healthcare environment a plus.
- You are detail oriented and have exceptional organizational skills with utmost attention to detail and data integrity.
- You enjoy collaborating with others to get projects completed.
- Working in a progressive and expanding environment.
- Must be proficient in MS Office and Access.
- Must be able to effectively communicate with different levels of individuals.
- Must be able to handle multiple tasks in a fast-paced environment.
- Work independently with minimal supervision.
- Adheres to company policy and procedures.
About GenesisCare:
Across the world, we have more than 440 centers offering the latest treatments and technologies that have been proven to help patients achieve the best possible outcomes. For radiation therapy, that includes over 130 centers in the U.S. as well as 14 centers in the U.K., 21 in Spain and 36 in Australia. We also offer urology and pulmonology care in the U.S. in over 170 integrated medical offices. Every year our team sees more than 400,000 people globally.
Our purpose is to design care experiences that get the best possible life outcomes. Our goal is to deliver exceptional treatment and care in a way that enhances every aspect of a person’s cancer journey.
Joining the GenesisCare team means a commitment to seeing and doing things differently. People centricity is at the heart of what we do—whether that person is a patient, a referring doctor, a partner, or someone in our team. We aim to build a culture of ‘care’ that is patient focused and performance driven.
APPLY HERE
by Kay Tay | Oct 20, 2023 | Uncategorized
The contractor will be responsible for supporting the Awards department with direction from the VP and the Awards Director.
Contractor Responsibilities & Deliverables
General Admin Support:
- Help to screen approximately 5000-6000 entries, with direction from Awards Team (Nov-Dec/Jan) and to prepare spreadsheets for committees
- Support team in rectifying any errors in entries with follow up emails and communications
- Support team in preparing for meetings where required.
- Support team in tracking lists and collected data (demographics information from survey questions) and addresses of semifinalists (February 2023)
Pricing/Rates
- Average 30-40 hours per week (max 120-160 hours a month)
- October/November through December 2023 (major holidays excluded) = 2 months
- January through March 15, 2024= 2.5 months
- Approximately 4 to 4.5 months with no guarantee. As this is a new role, please indicate if hours are surpassing average total per week.
- Pay Rate: $25 per hour
- Freelancer will work remotely. In the event the freelancer has to work at the JBF office, the freelancer will adhere to our JBF Vaccination Policy
Payment Terms/Schedule
- Upon submission of weekly invoices by contractor. Payable by check only.
APPLY HERE
by Kay Tay | Oct 20, 2023 | Uncategorized
This fully remote position is open to residents of the states of: Washington, Oregon, California, Colorado, Arizona, and Texas. Other locations in the Pacific, Mountain, and Central time zones may be considered.
ECG is a national management consulting firm working exclusively in the healthcare industry. At ECG, our primary emphasis is on quality—in our people as well as our services—and we’re seeking others who appreciate our high standards of excellence.
What’s in It for You: Work with Purpose
At ECG, you can have a bigger impact than you ever imagined. The work you do will ultimately help health systems deliver care more effectively and efficiently—and that’s just the beginning. We’re looking for innovators, problem-solvers, and self-starters to collaborate, take on challenging projects, and find new ways to improve processes. ECG is committed to ensuring a friendly work environment that rewards high performance and welcomes, values, and supports all people.
Join Our Document Production Center (DPC) Department
ECG has an in-house document production team committed to ensuring all client deliverables follow ECG’s style and editorial guidelines and exceed our clients’ expectations. The team is composed of document specialists, presentation graphic designers, and editors who work collaboratively in a fast-paced, deadline-oriented environment from multiple locations via an online workflow system.
Your Opportunity with ECG: Document Specialist
As a document specialist at ECG, you’ll be an important part of our DPC team. You will work with a group of professionals united in delivering the best service to our clients and be provided with opportunities to grow personally and professionally while doing so. Here, no two days or projects are alike, which means you’ll have a lot to learn and plenty of support to help you succeed.
We’re looking for a full-time, remote document specialist with a passion for perfection whose primary responsibility will be to format various types of client and internal documents, graphics, spreadsheets, and presentations according to in-house style guides and processes.
This shift is Sunday through Thursday, 1 to 10 p.m., PT.
Your Responsibilities May include:
- Formatting various types of documents, such as Word letters, outlines, and proposals; Excel spreadsheets and charts; and PowerPoint presentations and graphics, according to precise in-house style guides.
- Bringing together Word, Excel, PowerPoint, and Visio content into a single document.
- Formatting Word documents into sections with multiple headers and footers.
- Creating client-ready PDF files using Adobe Acrobat.
- Using our proprietary SharePoint-based workflow system for all stages of job completion.
- Reviewing your own work to ensure all formatting, processes, and instructions are completed correctly.
- Meeting high expectations for volume, accuracy, and on-time completion.
- Regularly participating in production team discussions and meetings.
Our Expectations of You
- At least two years of experience formatting documents according to in-house style guidelines
- Advanced skills in Microsoft Word and intermediate skills in Excel and PowerPoint
- A working knowledge of Visio and/or Adobe Acrobat a plus
- A meticulous work approach and an eye for detail
- Ability to learn new material quickly and adapt to change
- Ability to work well independently and in a team environment
- Ability to maintain high-quality work while meeting tight deadlines
- Good verbal and written communication skills
- Some experience working remotely preferred
Job Locations
This fully remote position is open to residents of the states of: Washington, Oregon, California, Colorado, Arizona, and Texas. Other locations in the Pacific, Mountain, and Central time zones may be considered.
Schedule
Full time/nonexempt
What You Can Expect of Us
To reward our driven, innovative, and passionate employees, we’ve built a company culture that’s centered on performance. We offer an attractive compensation package, challenging work, and an entrepreneurial environment where you can take ownership of your career—and get out as much as you put in.
About ECG
ECG is a strategic consulting firm leading healthcare forward using knowledge and expertise built over the course of five decades to help clients see clearly where the industry is going and navigate toward success. We work as trusted, professional partners with hospitals, health systems, medical groups, and academic medical centers across the country. We thrive on delivering smart counsel and pragmatic solutions to the critical challenges facing healthcare providers. Client success is our primary objective. ECG’s national presence includes offices in Atlanta, Boston, Chicago, Dallas, Minneapolis, San Diego, Seattle, St. Louis, and Washington, DC.
APPLY HERE
Recent Comments