Fellowship and Provider Services Coordinator - Mid Atlantic Retina

This position is eligible for Mid Atlantic Retina's $1,000 Hiring Incentive! The hired candidate will receive $500 after successful completion of 90 days of employment and $500 after successful completion of 1 year of employment! Available to new hires only- not available to agency hires, internal transfers, or re-hires.

Job Type: Full Time

Qualifications

1. Must have experience in graduate medical education and/or physician credentialing, including areas such as provider enrollment, privileging, and ensuring adherence to regulatory standards for healthcare providers.
2. Must possess a strong understanding of maintaining compliance across multiple departments, managing credentialing data, and coordinating with various stakeholders to support efficient onboarding and credentialing processes for Fellowship Program.
3. 2 years of experience performing secretarial or administrative duties in a healthcare setting, specifically supporting physicians or healthcare providers.

Job Description

The Credentialing Specialist ensures that physicians are enrolled in and maintain active credentialing status.

Essential Functions

1. Prepares initial and recredentialing applications for Mid Atlantic Retina physicians.
2. Maintains all physician credentialing, CVs, and vaccination records.
3. Follows up and tracks provider applications mailed to payors. This includes calling payors regarding the status of mailed applications as well as keeping notes as the application progresses until the provider number is obtained.
4. Maintains and understands Managed Care Plan policies and procedures with regards to physician credentialing and enrollment.
5. Works with health plan contacts to update / change provider information and to resolve issues.
6. Maintains data integrity of physician and practice information outside of credentialing database.
7. Maintains data for weekly update reports.
8. Enters comments and/or provider numbers in reports in a timely manner.
9. Compiles, reviews, links and scans all documents to files in a timely basis.
10. Regular and predictable on-site attendance required.
11. Works overtime as needed.
12. Travels to other MAR locations as needed.
13. Performs other duties as assigned.

Benefits

• 401(k) & Profit Sharing
• Health Insurance
• Dental Insurance
• Vision Insurance
• Life Insurance
• Short & Long Term Disability
• Paid Time Off
• Bonuses

Physical and Cognitive Demands

The physical and cognitive demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

1. This is largely a sedentary role; however, some filing may be required. This would require the ability to occasionally lift files, bend, stoop, crouch, reach, and stand on a stool as necessary.

1. Ability to lift or move up to 15 pounds at times.
2. Work with data by calculating and manipulating numbers, processing data on a computer, classify, record, store and retrieve information.

1. Use words to communicate ideas, read with comprehension and explain abstract or complex ideas in more basic terms.
2. The employee will use hands to operate equipment such as a computer mouse, show manual or finger dexterity, handle things with precision or speed, use muscular coordination and physical stamina.
3. While performing the duties of this job, the employee is regularly required to talk, communicate verbally one to one, in front of groups, over the telephone or with a headset and in email.
4. This position requires listening to verbal communication using a telephone or with a headset and processing the information while entering the data into a computer system, processing auditory information and responding verbally back in an appropriate manner.
5. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus with or without corrective lenses.
6. Ability to follow through on plans or instructions.