Job Details
Level
Experienced
Job Location
UUG Corporate - Owings Mills, MD
Remote Type
Fully Remote
Position Type
Full Time
Education Level
High School
Travel Percentage
None
Job Shift
Day
Job Category
Health Care
Credentialing Specialist Responsibilities
United Urology is the premier urology practice in the country, offering the most state-of-the-art urology care available nationwide. Composed of 150 of the nation’s top urologists, United Urology features the convenience of over 50 office locations in Maryland, Tennessee, Colorado, Arizona and Delaware. In addition, 19 of these locations contain ambulatory surgery centers, staffed by board-certified anesthesiologists. Our physicians, together with our specialty-trained nurses, technicians and highly-dedicated patient care staff, are committed to providing adult patients with outstanding urologic care, personalized for each patient.
Our mission is to provide compassionate, ethical medical and surgical care in a comfortable and supportive environment. As one of the "Top 100 Best Places to Work in Health Care" and voted a “Best Place to Work” by multiple organizations, we maintain our exceptional patient care and culture by selecting the best people in our field, promoting a healthy and respectful environment, and serving the community through our outreach programs and events.
United Urology is seeking a qualified Credentialing Specialist for our corporate office located in Owings Mills, MD. This position is responsible for processing all initial and re-credentialing applications for Chesapeake Urology Associates, Summit Ambulatory Surgery Centers, and its affiliates, in accordance with established policies and procedures, and accreditation and regulatory requirements.
- Adheres to all United Urology Group’s policy and procedures.
- Communicates directly with providers during the onboarding process to obtain all necessary data and documents to begin the credentialing and payer enrollment process.
- Update the CAQH applications as needed and work within the department to keep information current.
- Assists providers with licensure, DEA and CDS applications.
- Enters provider and facility information into United Urology Group’s credentialing database.
- Completes the payer enrollment process for providers, office locations and ASC’s. Follows up on enrollment progress and communicates effective dates of enrollment.
- Assists providers with obtaining hospital and external ASC privileging applications. Manage reappointment timeless to ensure continuity of care.
- Prepares the provider files for the Medical Director approval for privileging at Untied Urology Group’s ASCs. Manage reappointment timeless to ensure continuity of care.
- Maintains expirable documents for providers and ASCs including DEA, CDS and office and ASC CLIA licenses.
- Investigates unresolved or complex issues, compiles necessary information, and forwards data to appropriate staff members for resolution.
- Communicates with providers, groups, and company peers to maintain overall contractual compliance.
- Responsible for overall accuracy of credentialing database, assuring that the information is current and that information is presented internally and externally in a timely and professional manner.
- Maintains the privacy and security of all confidential and protected health information.
- Uses and discloses only that information that is necessary to perform the function of the job
- Maintain relationships with Anesthesia groups that provide services at the United Urology Group’s ASC to ensure timely provider privileging.
- Perform other office duties as assigned by manager/director.
Credentialing Specialist Requirements
- High School Diploma or GED.
- Two to four years of medical credentialing experience required.
- Credentialing and database experience preferred.
- Excellent written, verbal, and interpersonal communication skills.
- Proficient computer software and database skills.
- Strong math and analytical skills.
- Ability to multi-task and work in a fast paced, high volume environment.