Medical College of Wisconsin
Credentialing Assistant
Medical College of Wisconsin, Milwaukee, Wisconsin, United States, 53244
Overview
In the role of
Credentialing Assistant , you will be working in
Clinical Practice Services . You will 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.
Hybrid Position: 60% Onsite & 40% Remote
Responsibilities
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.
Performs Quality Assurance Audits on all completed files for accuracy prior to releasing the files to the various entities.
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.
Minimum Qualifications Minimum Required Education: High school diploma
Minimum Required Experience: 2 years
Preferred Qualifications 2 years’ experience enrolling and maintaining credentialing status for providers. Experience with MSOW or similar software, such as Cactus or MD-Staff.
Seniority level
Associate
Employment type
Full-time
Job function
Human Resources
Industries
Higher Education
Referrals increase your chances of interviewing at Medical College of Wisconsin by 2x
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Credentialing Assistant , you will be working in
Clinical Practice Services . You will 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.
Hybrid Position: 60% Onsite & 40% Remote
Responsibilities
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.
Performs Quality Assurance Audits on all completed files for accuracy prior to releasing the files to the various entities.
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.
Minimum Qualifications Minimum Required Education: High school diploma
Minimum Required Experience: 2 years
Preferred Qualifications 2 years’ experience enrolling and maintaining credentialing status for providers. Experience with MSOW or similar software, such as Cactus or MD-Staff.
Seniority level
Associate
Employment type
Full-time
Job function
Human Resources
Industries
Higher Education
Referrals increase your chances of interviewing at Medical College of Wisconsin by 2x
#J-18808-Ljbffr