Credentialing Assistant-Casual Medical College of Wisconsin 180 reviews
- Milwaukee, WI Part-time, Temporary Purpose Credentialing Assistants
perform a variety of duties that contribute to background verification
and file preparation for the MCW credentialing function, and enrollment
and maintenance of enrollment status of individual providers and
clinical practice sites for public payer programs. The tasks that
Credentialing Assistants perform require a consistently high degree of
accuracy over a large volume of providers, and their work, though
closely supervised, is relied upon and used directly in decisions
regarding credentialing and enrollment. Primary Functions * Prepares
re-credentialing files for review and decision by MCW Credentialing
Committees. * Verifies specified information from identified primary
sources, reviews re-credentialing applications for completeness, and
pursues missing forms or information as needed. * Prepares Individual
Status Reports using information obtained from primary source
verifications including assembling all re-credentialing information
regarding each provider into re-credentialing files for review by MCW
Credentialing Committees. * Enrolls all newly hired MCW providers into
Medicare and appropriate Medicaid programs by receiving applications for
participation in Medicare and Medicaid programs from new providers.
Checks for completeness and pursues additional information or materials
as necessary. * Works with personnel from government payers to secure
application materials as necessary. Transmits completed applications to
government payer; receives and files verification of enrollment. *
Prepares Candidate Background Assessment Program (CBAP) files for review
and use in hiring decisions for clinical departments. * Receives CBAP
applications from candidates for faculty physician, dentist, and
psychologist positions and verifies specific information from primary
sources. * Reports results of CBAP background searches to Office of
General Counsel and clinical departments. * Maintain records noting
progress of each candidate in the CBAP process in spreadsheet software.
- Maintains individual files for all candidates using the CBAP process.
Organizational Structure Building: Research Park Center (RPC)
Department: Clinical Practice Services (CPS) Reports to (Title):
Credentialing Supervisor II Direct Reports (Titles): N/A Preferred
Schedule: Position Requirements: Specifications Appropriate education
and/or experience may be substituted on equivalent basis Minimum
Required Education: High school diploma Minimum Required Experience: 2
years Knowledge Skills Abilities Knowledge of quality control, customer
service standards, information management, procedural process, and
recordkeeping. Computer, technical, interpersonal, oral communication,
listening, and patience skills. 11 hours ago - save job - original job
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