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Posted: Thursday, August 31, 2017 9:00 AM

Hospital Privileging Coordinator PRNCFG Health Network : InSight Telepsychiatry: Medical Affairs Position SummaryInSight Telepsychiatry and the CFG Health Network are seeking a Hospital Privileging Coordinator to work remotely with the Medical Affairs team in Marlton, NJ and connect regularly to a national team of colleagues. This position is responsible for leading, coordinating, monitoring, and maintaining the credentialing and re:credentialing process for providers. The Hospital Privileging Coordinator will facilitate all aspects of credentialing, including initial appointment, reappointment, the expirables process and clinical privileging for providers. This position will ensure interpretation and compliance with the appropriate accrediting and regulatory agencies, while developing and maintaining a working knowledge of the statues and laws relating to credentialing. The Hospital Privileging Coordinator is responsible for the accuracy and integrity of the credentialing database system and related applications and will work under the supervision of the Director of Medical Affairs. Organization OverviewThe CFG Health Network is a family of companies that provides behavioral health services across the spectrum of care. InSight Telepsychiatry is the telemedicine arm of the CFG Health Network and has a mission to increase access to quality behavioral health care through telehealth. InSightA?s behavioral health providers bring care into any setting on an on:demand, scheduled or connected services basis. With 18 years of telepsychiatry experience and an active footprint in telepsychiatry:related advocacy, InSight is recognized as an industry thought:leader. Collectively, the CFG Health Network companies share a management team and certain back:office functions. In addition to telepsychiatry, the CFG family of companies provides outpatient behavioral health services, hospital based programs including inpatient psychiatric services, ED evaluations, psychiatric crisis center intervention, medical/surgical services and healthcare services for correctional facilities. Job ResponsibilitiesEnsure applicant eligibility by analyzing a providerA?s profile and accompanying documents Work closely with provider to obtain missing documentation and/or signatures pertaining to enrollmentConfirm receipt of requested documents, identify and respond to issues that require additional investigation and evaluation, validate discrepancies with provider and facilitate process for payer participationPerform timely follows:ups, maintain and update database on the status of application and to report to management and providerMonitor documentation renewal/expiration dates and complete renewal applicationsMaintain current copy of appointments and privileges in databaseMonitor initial, reappointment, FPPE and OPPE process for provider ensuring compliance with regulatory bodies (Joint Commission, NCQA, URAC, CMS, federal and state) as well as medical staff bylaws, rules and regulations, policies and procedures and delegated contracts Maintain and utilize credentialing database to optimize efficiency, perform document generation, track application status and report Assist Medical Affairs Department with special projectsOther duties as assignedJob RequirementsHigh School DiplomaTwo years of credentialing experienceOutlook, Excel, PowerPoint and Word proficiencyDatabase management skills including querying, reporting and document generationAbility to manage and impart confidential informationIndependent workerOrganization and time management skillsAbility to multitask Ideal CandidatePrevious healthcare experienceWorking knowledge of clinical and/or hospital operations and proceduresKnowledge of Medicare, Medicaid and commercial payer provider enrollment processKnowledge of Echo Credentialing SoftwareKnowledge of NCQA standards as it relates to credentialing and health plan enrollmentStrong verbal and written communication skillsInformational research skills Logis

Source: https://www.tiptopjob.com/jobs/71481464_job.asp?source=backpage


• Location: Central Jersey

• Post ID: 43981933 centraljersey
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