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Posted: Thursday, August 31, 2017 9:30 AM

Provider Enrollment 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 preparing, submitting and tracking credentialing applications and supporting documentation for the purpose of enrolling providers with payers. The Provider Enrollment Coordinator 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 position is responsible for the accuracy and integrity of the credentialing database system, CAQH profile and related applications. The Provider Enrollment Coordinator 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 Implement, coordinate and monitor provider enrollment and credentialing process for initial and re:credentialing applicationsWork 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 providerEnter and maintain credentialing information into CFG credentialing database and CAQH profileMonitor documentation expiration dates and acquire the current and updated documentationRespond to inquiries from other healthcare organizations, interface with internal and external credentialing issues as they arise for enrollment and contracting mattersMaintain and utilize the credentialing database to optimize efficiency, perform document generation, and track and report on applicant statusAssist Medical Affairs Department with special projectsOther duties as assigned Job 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 LogisticsRemote PRN position based in MarltonPosition


• Location: Central Jersey

• Post ID: 43980958 centraljersey is an interactive computer service that enables access by multiple users and should not be treated as the publisher or speaker of any information provided by another information content provider. © 2017