Job Information
Vighter Medical Group National Licensing and Credentialing Manager in United States
National Licensing and Credentialing Manager
Job Details
Position Type
Full Time
Travel Percentage
None
Description
Position Description: Compiles and maintains current and accurate data for all providers.
Our Company Promise
We are committed to providing our Employees a stable work environment with equal opportunity for learning and personal growth. Vighters Mission is to provide efficient, fast, high quality healthcare staffing to our clients.
Our Cultures key elements are crucial to the effectiveness of our employees in accomplishing our mission. The key elements include:
Dependability
Integrity
Personability
Transparency
Responsiveness
Creating and cultivating this Culture within the organization is our commitment to our employees. Above all, Vighter employees will be provided the same concern, respect, and caring attitude that they are expected to share externally with every Vighter Client and Customer.
VIGHTER LLCis recruiting a Licensing and Credentialing Manager work alongside uniformed Customs and Border Protection (CBP) Agents/Officers in secured federal facilities along the southwest border of the United States. These secured federal facilities are staffed and monitored by CBP personnel and/or contracted security staff 24 hours a day, 7 days a week to ensure a safe working environment to include the co-located medical unit. Contracted medical staff work together with CBP personnel to provide health care services for persons of all ages, to include infants, children, adults, and pregnant females.
MISSION
CBPs Office of the Chief Medical Office (OCMO) employs a family medicine model to provide frontline medical care for persons in CBP custody. This model provides a team of medical professionals comprised of physicians, advanced practice providers (e.g., physicians assistants, nurse practitioners), clinical support staff (e.g., Licensed Practical/Vocational Nurses, Paramedics, EMTs, Certified Medical/Nursing Assistants), and other support staff (Patient Safety Risk Managers and Electronic Health RecordsSpecialists). These contracted medical teams provide basic assessment and medical treatment for persons in CBP custody to include emergency care as needed. OCMO is committed to ensuring a system of care that is ethical, responsible, and accountable through surveillance and monitoring activities that are in place.
Education/Training:
Bachelors degree
Certified Provider Credentialing Specialist (CPCS) preferred.
Three years of relevant credentialing experience
Technology and business analytical skills
Good written and oral business and technology communication skills
Ability to work as part of a team, strong interpersonal skills
Duties and Responsibilities:
Compiles and maintains current and accurate data for all providers.
Completes provider credentialing and re-credentialing applications; monitors applications and follows-up as needed.
Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers.
Maintains corporate provider contract files.
Maintains knowledge of current health plan and agency requirements for credentialing providers.
Sets up and maintains provider information in online credentialing databases and system.
Tracks license and certification expirations for all providers to ensure timely renewals.
Ensures practice addresses are current with health plans, agencies and other entities.
Processes applications for appointment and reappointment of privileges to The Doctors Clinic (ASC) Tracks license, DEA and professional liability expirations for appointed ASC providers.
Maintains ASC appointment files, and information in credentialing database.
Audits health plan directories for current and accurate provider information.
Knowledge, Skills, and Abilities:
Knowledge and understanding of the credentialing process.
Ability to organize and prioritize work and manage multiple priorities.
Excellent verbal and written communication skills including letters, memos and emails.
Excellent attention to detail.
Ability to research and analyze data.
Ability to work independently with minimal supervision.
Ability to establish and maintain effective working relationships with providers, management, staff, and contacts outside the organization.
Proficient use of Microsoft Office applications (Word, Excel, Access) and internet resources.
Supervisory Controls:
Works under the administrative direction of the National Deputy Program Director, National Medical Director or in their absence the Deputy Medical Director.
In this position, the employee will serve as a contractor to the federal government and does not have any federal authority or rights.
Physical Demands:
Must be able to sit up to 8 hours per day
Must be able to perform the physical requirements of an office employee
Must be able to use an elevator or walk up & down stairs
Must be able to lift up to 10 lbs.
Must be able to routinely grasp or handle objects, use finger dexterity, bend elbows/knees and reach above and below shoulders
Must be able to read and interpret typewritten print
Must be able to communicate by voice and detect sound by ear
Must be able to perform duties in an indoor office environment