Do you love to care for patients in a warm and welcoming environment?

Gastro Health is currently looking for an enthusiastic full-time Credentialing Specialist to join our team!

Gastro Health is a great place to work and advance in your career. You'll find a collaborative team of coworkers and providers, as well as consistent hours – and we enjoy 7 paid holidays per year plus paid time off.

Here are some of the duties you will be responsible for:

* Able to understand and complete all roles in the Credentialing Department related to provider management:
  * Onboarding
    * Working with providers and offices to obtain complete records from new providers.
    * Verifying data and interpreting results
    * Data entry and file setup
    * Timely processing and presentation for approval  

  * Enrollment
    * Completing third party applications for payers, facilities, malpractice insurance etc.
    * Working effectively and professionally with providers and contacts to follow the process through approval  

  * Maintenance
    * Keeping providers records up to date and current with internal standards
    * Responding to payer and facility requests for re-processing applications on schedule
    * Running reports on and renewing all credentials/Expirables such as licenses, DEAs, CPR certificates etc
    * Educating providers and offices on processes and assisting in issue resolution
    * Intake and appropriate processing of requests from all external and internal parties
    * Responding and assisting in the resolution of billing and claims issues
    * Making sure external sources are updated regularly such as CAQH, ProviderSource, NPI etc
* Must establish and maintain a strong working relationship with company staff, providers, third-party payers and all other entities.
* Participate in delegated credentialing activities as may differ from the above tasks
* Support the Credentialing department with special projects as the needs arise
* Other duties as assigned   

Minimum Requirements

• At least 3 years experience in the credentialing field
• CPCS (Certified Provider Credentialing Specialist) preferred
• Proficient with Microsoft Applications (Word, Excel, Outlook) and Windows
• Strong data entry skills
• Professional written and spoken communication skills
• Working knowledge of OneApp Echo Credentialing Software (will be taught)
• High level of attention to detail
• Ability to handle multiple documents pertaining to several providers at once
• Applying complex, detailed guidelines in the preparation and review of all applications to ensure compliance with CMS, state regulations, NCQA and
• internal procedures and protocols.
• Excellent time management skills to handle multiple tasks simultaneously.
• Demonstrated ability to work independently and prioritize work.
• Team orientation & flexibility in accepting change.
• Professional appearance and demeanor.

Gastro Health is the largest gastroenterology multi-specialty group in the country. We are over 300 physicians strong with over 100 locations throughout the nation, including Florida, Alabama, Ohio, Maryland, Washington, Virginia, and Massachusetts. We employ the finest gastroenterologists, pediatric gastroenterologists, colorectal surgeons, and allied health professionals. Gastro Health is always looking for talented individuals who share our mission to provide outstanding medical care and an exceptional healthcare experience.

We offer a comprehensive benefits package to our eligible employees, which includes: Cigna healthcare, dental, vision, life insurance, 401k, profit-sharing, short & long-term disability, HSA, FSA, and PTO plus 7 paid holidays.

Plus:

• This position offers a great work/life balance! No weekends or evenings -- Monday thru Friday
• We are growing rapidly and support internal advancement
• We offer competitive compensation

Benefits:

• 401(k) retirement plans
• Profit-Sharing
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance
• Disability insurance
• Pet insurance

COVID-19 considerations:
Temperature checks at check-in, mask worn while on-premise, and hand sanitizing stations throughout the building

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Interested in learning more? Meet our Staff

Gastro Health is proud to be an Equal Opportunity Employer. We do not discriminate based on race, color, gender, disability, protected veteran, military status, religion, age, creed, national origin, gender identity, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

We thank you for your interest in joining our growing Gastro Health team!