Job Description
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 and Provider Enrollment 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 bachelors degree preferred.
**Experience**
+ Required - 1 year Credentialing or 1 year Managed Care
Equal Opportunity Employer Veterans/Disabled
**Position** Credentialing and Provider Enrollment Specialist
**Location** Tampa:Concourse Center | Business and Administrative | Full Time
**Req ID** null
BayCare Health System
Job Tags
Full time, Shift work, Monday to Friday,
Similar Jobs
Employnet Workforce Solutions
...Western Packaging will be responsible for overseeing all aspects of creative development, design, and branding strategies. You will collaborate closely with marketing, sales, and production team to ensure our packaging solutions are according to specks and aesthetically...
The Williamsport Home
The Williamsport Home is seeking a compassionate individual to serve as a resident advocate, ensuring that residents' psychosocial and spiritual needs are met from admission to discharge. This role adheres to all relevant regulations and is guided by the Social Services...
Disney Direct to Consumer
## _**ABOUT THE ROLE**_The DTC Product & Tech Analytics team is seeking a Sr. Data Analyst who willbe an outstanding addition to our team. We partner with other teams across thebusiness to turn data into information, information into insights and insightsinto key...
M & J Quick Logistics Inc
...Job Description Job Description IMMEDIATELY HIRING FULL-TIME AND PART TIME PICK UP AND DELIVERY DRIVERS FOR FEDEX GROUND CONTRACTOR (M & J QUICK LOGISTICS INC) JOPLIN, MISSOURI Independent Service Provider for FedEx Ground is looking to hire qualified pick up and...
The Woodhouse Day Spa - Fort Wayne
...Woodhouse Fort Wayne Massage Therapy Program Location: Woodhouse Spa, Fort Wayne, IN Program Type: Full-Time, Fully Sponsored... ...be eligible to take the MBLEX exam to become licensed massage therapists in IN. This program is designed for the individual who is just...