Top 12 Operating department practitioner Jobs in Scranton, Pa

Specialist, Credentialing
The Wright Center for Graduate Medical Education —Scranton, PA
- Online Application
- Hybrid work
- Research
- Mid-level
- Office
10d
FRONT DESK SUPERVISOR
WAYNE MEMORIAL COMMUNITY HEALTH CENTERS —Lake Ariel, PA
- Full-time
- Word processing
- Mid-level
- Front desk
Quick Apply
Diagnostic Radiology Technologist - Days
Geisinger —Tunkhannock, PA
- Full-time
- BLS Certification
- Mid-level
- Bachelor's degree
- Health insurance
- Dental insurance
Diagnostic Radiology Technologist - Evenings
Geisinger —Scranton, PA
- Full-time
- Mid-level
- Critical & Intensive Care
- Operating room
- Health insurance
- Dental insurance
1d
RN CLINICAL DIRECTOR
Elan Skilled Nursing —Scranton, PA
- Full-time
- Nursing
- Blood sampling
- Skilled nursing facility
- Continuing education credits
- Health insurance
Quick Apply
9d
Diagnostic Radiology Technologist -Per Diem
Geisinger —Scranton, PA
- Part-time
- BLS Certification
- Mid-level
- Bachelor's degree
- Health insurance
- Dental insurance
Diagnostic Radiology Technologist - Per Diem
Geisinger —Scranton, PA
- Part-time
- BLS Certification
- Mid-level
- Bachelor's degree
- Health insurance
- Dental insurance
Diagnostic Radiology Technologist- Per Diem
Geisinger —Wilkes-Barre, PA
- Part-time
- BLS Certification
- Mid-level
- Bachelor's degree
- Health insurance
- Dental insurance

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Specialist, Credentialing

The Wright Center for Graduate Medical Education
Scranton, PA

Apply Now

Job Details

Full-time
10 days ago

Qualifications

Electronic health records (EHR) management
Phone communication
Spreadsheets
Microsoft Office
Database management
Medical terminology

Full Job Description

Description:

POSITION SUMMARY

This position primarily reports in person to our Scranton office and may require travel between clinics as needed. Ideal candidates would be local or willing to relocate upon offer.

The Credentialing Specialist is responsible for all aspects of the initial credentialing, re-credentialing, privileging and overseeing the credentialing portion of the new hire on-boarding process for all incoming Physicians, Nurse Practitioners, Physician Assistants and other providers as necessary. Responsible for the application process which includes maintenance of the online application site (CAQH, NPI, etc) forms repository and intake, review and appropriate routing of all credentialing documents. Responsible for the insurance enrollment and facility credentialing. This position liaises with both internal teams and external agencies such as Hospitals, insurance companies, and other programs as needed. In addition to credentialing of providers, the position will maintain certifications, licenses, DEAs and CMEs for medical staff.

Work is performed in an office environment however, this position may offer a hybrid work option with departmental approval on a temporary or ongoing basis, allowing for remote work. Onsite presence is required for projects or team meetings as needed and on site training is required. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements for this job description are not intended to be all inclusive. They represent typical elements considered necessary to successfully perform the job.

REPORTING RELATIONSHIPS

This position reports to the Credentialing Manager. This position works closely with the Revenue Cycle Department. This position has no direct reports.

ESSENTIAL JOB DUTIES AND FUNCTIONS

While living and demonstrating our Core Values, the Credentialing Specialist will:

Maintain accurate credentialing, competency, and expirable files in an orderly and current manner for all providers. Record all credentials information immediately upon receipt.
Onboard new providers to ensure all checklist items are completed and up to date
Enroll providers and clinic locations with state Medicaid agencies and other payors
Coordinate new office openings and update payer/internal rosters
Own, track, and manage Medicare, Medicaid, and other third party public and private payor, facility, and provider enrollment and credentialing
Develop and maintain relationships with new and existing third-party payors credentialing counterparts and departments
Track, organize, and provide timely updates for all credentialing applications
Problem solve, troubleshoot, and research credentialing issues independently
Create and update training guides, Standard Operating Procedures (SOPs), announcements, and other documentation for the credentialing department
Monitor, track, and complete re-credentialing for individual providers and locations and ensure timely submissions
Communicate updates and special requests to internal teams cross functionally
Support the development of SOPs and assist the revenue cycle management team with credentialing related system errors and issues
Coordinate with Human Resources and Employee Health to gather all necessary information to complete credentialing and privileging forms/applications
Prepare for internal and external audits conducted for current and accurate provider information
Communicate frequently with external stakeholders (ex. payors, state/federal agencies, and certifying bodies) for application updates, status changes, and resolution of any issues
Maintain confidentiality of credentialing information
Maintain certifications (ACLS, BLS, PALS. Etc.), CMEs, Licenses and DEAs for all Faculty and clinical staff
Improve professional growth and knowledge related to job-specific competencies.
Independently seeks out and utilizes information resources
Participates in the design, implementation, and ongoing management of performance improvement activities
Other duties as assigned by management

Requirements:

Bachelor or Associate degree in any healthcare related field or equivalent experienc
2+ years of experience in medical credentialing, payor enrollment, working in a medical facility environment or other healthcare setting (Required)
Working knowledge of medical terminology, insurances and billing
Experience with electronic medical records
Strong computer skills specifically Microsoft Excel and database management
Excellent communication skills in one-on-one interactions, electrically and over the phone
Ability to perform the role successfully in a high-intensity environment
Must be a time driven individual who can meet many deadlines with a variety of outside parties
Must be extremely organized and successfully monitor multiple deliverables
Must be focused, self directed and have demonstrated problem-solving abilities
Must be detail oriented, quality and precision focused
Must demonstrate good judgment, professionalism and discretion
Able to work both independently and part of a team
Meet The Wright Center for Community Health and its affiliated entity The Wright Center for Graduate Medical Education EOS© People Analyzer Tool
Buy in and experience working in the EOS® model (strongly preferred)
Mission-oriented; represents the enterprise in a professional manner while demonstrating organizational pride

Apply Now

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operating department practitioner jobs in scranton, pa

Specialist, Credentialing

FRONT DESK SUPERVISOR

Diagnostic Radiology Technologist - Days

Diagnostic Radiology Technologist - Evenings

RN CLINICAL DIRECTOR

Diagnostic Radiology Technologist -Per Diem

Diagnostic Radiology Technologist - Per Diem

Diagnostic Radiology Technologist- Per Diem

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