Job Openings >> Credentialing and Compliance Specialist
Credentialing and Compliance Specialist
Summary
Title:Credentialing and Compliance Specialist
ID:1115
Department:Administrative
Description

MainStreet is a company on the move!  We have over 50 Nurse Practitioners and close to 20 Physicians supporting our clinics, and we are hiring more every month.

For those new providers that we hire:

  • You will work with the new hires to get all contracting and credentialing tasks complete. This is everything from getting the medical malpractice setup, to getting collaborations setup between Nurse Practitioners and Physicians, to getting credentialing with BCBS and our other insurance companies setup.
  • You will facilitate the onboarding and maintenance for individual providers CAQH and DOT.
  • You will handle the CLIA and DME applications for each clinic location.

For providers that already work at MainStreet:

  • Facilitate monthly chart reviews between Nurse Practitioner.
  • Make sure we are meeting and documenting all Collaboration requirements.
  • Updating the Board of Nursing Collaboration locations with approved sites.
  • Keep all credentialing up to date and correspond with credentialing departments at insurance companies as required.

Provider Scheduling

  • You will be responsible for scheduling all company Nurse Practitioners and Physicians. We have an online calendar tool that facilitates this.
  • This is about 40% of the role.

 

What About You?

  • You need to be the BOMB!
  • You need to be hard working, driven, and completely tireless.
  • You need to be resourceful. You have never seen an obstacle you could not get over or a problem you could not solve. You get things done. Period.
  • You need to be ultra-organized. If you are not obsessively organized, you will struggle in this role.
  • It would be great if you have prior insurance credentialing experience.
  • You need to have iron clad values.

 

More About You:

1. You are the BOMB!
Just making sure you got that :)

2. Time Management
You must be able to manage your time wisely and be willing to put in as many hours per week as needed. This is not a job for someone who simply wants to punch a time clock and earn a paycheck. It is a job for someone who wants to own their position and kick butt.

3. Self Starter
If you need someone continually telling you what to do, this position isn’t for you.
If, after completing training and reviewing a plan, you’re the type of person who can run with it and find new and even better ways of doing things on your own, you’ll thrive.

4. Organized
If you’re not organized, this position isn’t for you.
If you enjoy having many irons in the fire at one time and thrive on managing them and your time effectively, you’ll do well!

5. Have an Entrepreneurial Spirit
If you’re looking to just earn a paycheck, this job isn’t for you.
If you’re ready to take ownership of the company and have a burning desire to grow the business and put in the hours it takes to successfully build a business, you’ll thrive. This often means working on things at home, working evenings and Saturdays, and working more than a traditional “40 hours per week”.

6. Relationship Building
If you’re shy and/or don’t love people, this job isn’t for you.
If you enjoy turning strangers into friends, growing and fostering relationships, talking with Nurse Practitioners and Doctors on the phone, you’ll excel.

7. Iron Clad Ethics
If you don’t have a do the right thing, every time, all the time,
mentality then our company is not for you.

This opening is closed and is no longer accepting applications
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