Job description

Who we are: Fast Lab Technologies is a medical diagnostic laboratory that offers a full range of bioanalytical testing services. We provide a wide variety of tests, as well as fast, efficient COVID-19 testing for travel, symptoms and precautionary measures. We pride ourselves in delivering exceptional customer service, paired with quick, reliable testing so that every experience with us is as comfortable, and efficient as possible.

Summary of Role:

The Credentialing Specialist is responsible for all aspects of the credentialing process for all licensed providers for our Telemedicine and Laboratory. The role of a credentialing specialist is an important one as they ensure that our facilities and physicians are following federal and state guidelines and that medical doctors and nurses have the necessary licenses they need. They also maintain records of training and certifications for the medical staff. Credentialing specialists must be familiar with medical terminology, have solid research skills, and have exceptional organizational skills.

Essential Duties and Responsibilities:

• Provides consistent, accurate, and timely credentialing support for Fast Lab’s accreditation process.
• Acts as coordinator for furthering any and all certifications it may decide to pursue.
• Ensures Fast Lab and its providers take advantage of all the existing incentive initiatives through Medicaid and Medicare with the submission of the appropriate application.
• Provides accurate, timely and documented verification of the information provided by new applicants as well as current providers.
• Assists with the onboarding process of medical service providers.
• Verifies, researches, and responds to telephone and written inquiries from providers and other departments, pertaining to provider participation and credentialing status.
• Works with medical and finance staff to ensure list of all current payers sorted by the number of patients within each group and all insurance carriers sorted by the type of product (Medicaid, Medicare, or CHIP), patient copay and fee schedule are kept and updated regularly.
• Regularly communicates to medical and finance staff on all health plans, enrollments, and updates.
• Coordinates all additions, terminations and changes to all plans as appropriate
• Prepares and maintains reports on all accreditation and credentialing activities as required.
• Supports development (writing), implementation, and upkeep of all Fast Lab’s policies and procedures as needed.
• In conjunction with Human Resources (HR), maintains compliance with documentation standards for verification of employee credentialing requirements, including but not limited to, licenses, certifications, registrations, permits, educational degrees, internship, residency and association memberships, and any related electronic systems and software.
• In coordination with HR, ensure all required backgrounds and re-verifications are performed during hiring and thereafter. (i.e. National Practitioner Data Bank).
• In coordination with HR, ensures all records are properly kept for all providers (i.e. the National Practitioner Data Bank, CAQH, and the Utilization Review Accreditation Commission).
• Collects, enters and ensures data in the CAQH Universal Provider Data Source are updated.
• Participates in programmatic audits as required.
• Ensures Fast Lab’s credentialing process fully complies with HIPAA and Joint Commission.

Minimum Qualifications:

• Minimum five years of experience managing credentialing, privileging, or similar healthcare professional verification and organization’s accreditation processes are required
• Minimum five years of experience in health plan enrollment and management is required.
• Excellent interpersonal, verbal, and written communication skills.
• Must be a motivated individual with a positive attitude and exceptional work ethic.
• Ability to follow through, work independently, and handle tasks simultaneously.
• Ability to set priorities and exercise appropriate judgment.
• Excellent problem solving skills and the ability to handle multiple tasks and follow through on the completion of projects in a timely manner is essential.
• Functional knowledge of basic computer operation and keyboard functions.
• Well versed in the following applications: Microsoft Word, Outlook, and Excel, Google Suites.

Preferred Qualifications:

• Credentialing Specialist (CPCS) preferred.

Remote/Part-time/Hourly

Disclaimers: This job description is not all inclusive of duties, other responsibilities can be added and modified based on business needs at any time, with or without notice.

EEO Statement

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

ADA Statement

The Americans with Disabilities Act (ADA) and the Americans with Disabilities Amendments Act (ADAAA) are federal laws that require employers with 15 or more employees to not discriminate against applicants and individuals with disabilities and, when needed, to provide reasonable accommodations to applicants and employees who are qualified for a job, with or without reasonable accommodations, so that they may perform the essential job duties of the position.

It is the policy of Fast Lab Tech to comply with all federal and state laws concerning the employment of individuals with disabilities and to act in accordance with regulations and guidance issued by the Equal Employment Opportunity Commission (EEOC). Furthermore, it is the company policy not to discriminate against qualified individuals with disabilities in regard to application procedures, hiring, advancement, discharge, compensation, training or other terms, conditions and privileges of employment.

Job Types: Part-time, Contract

Pay: $18.00 - $21.00 per hour

Benefits:

• Flexible schedule
• Paid time off

Schedule:

• Day shift
• Monday to Friday

Experience:

• Credentialing: 5 years (Required)
• Health Plan Enrollment and Management: 5 years (Required)

License/Certification:

• Certified Provider Credentialing Specialist (Preferred)

Work Location: Remote

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