Job Title:
Enrollment and Credentialing Specialist - Dallas, Texas

Company: Sonic Healthcare USA

Location: dallas, TX

Created: 2024-05-04

Job Type: Full Time

Job Description:

Quality is in our DNA -- is it in yours?You are a superhero when it comes to patient specimens. You've got problem-solving instincts, a passion for patient care, and the drive to keep things running smoothly. You're also looking for great benefits, the support of an all-star team, and an opportunity to grow your career.Join our front line of #HealthcareHeroes! Our mission is to advance the health and wellbeing of our communities as a leader in clinical laboratory solutions.Location: Dallas, Texas - ON-SITE (this is not a remote opportunity)Full-time: Benefit EligibleDays: Monday - FridayHours: 8:00 AM - 5:00 PM In this role, you will:The Provider Enrollment & Credentialing Representative will be accountable for the initiation of new credential files, ensuring the completeness of a new application as the first step in the credential's verification process, and participating in verification of credentials through correspondence, phone contact, internet sites and any other third-party itial credentialing and re-credentialing of physicians.Obtains Medical Licenses as required, as well as ensures that all medical staff meet and maintain active licensure.Oversee the maintenance of all certifications required to successfully license and credential all physicians with the exception of the laboratory's CLIA licenses.Coordinates, and monitors the review and analysis of practitioner applications and accompanying documents, ensuring applicant eligibility.Conducts thorough background investigation, research and primary source verification of all components of the application file.Identifies issues that require additional investigation and evaluation, validates discrepancies and ensures appropriate follow up.Prepares credentials file for completion and presentation to Entity Credentialing Committees, ensuring file completion within time periods specified.Responsible for CAQH files for providers to ensure completion and maintain revisionsupdates.Processes requests for Provider Enrollment ensuring compliance with criteria outlined in descriptions for both commercial and Government payers."‹All you need is:Bachelor's Degree or the equivalent years of experience.Prior years of related experience; or equivalent combination of education and experience.Ability to solve complex problems to support the planning, organizing, and coordinating of provider payer credentialing.Knowledge of medical terminology, insurance billing, credentialing and licensing processes as demonstrated by work experience and pany:Sonic Anatomic PathologyWe'll give you:Appreciation for your workA feeling of satisfaction that you've helped peopleOpportunity to grow in your professionFree lab services for you and your dependentsWork-life balance, including Paid Time Off and Paid HolidaysCompetitive benefits including medical, dental, and vision insuranceHelp saving for retirement, with a 401(k) plus a company matchA sense of belonging - we're a community!