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Empath Health
Credentialing Specialist
Career Insights for Network Analyst / Specialist
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Based on Florida data
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What they do
A Network Analyst or Specialist plans, implements, tests and maintains computer systems within a company. Analyses businesses to identify problems and recommends suitable technical solutions.
$86,756 / year median in Florida
-16% projected decline
Job Description
Empath Health is seeking a Credentialing Specialis t to join our Credentialing team; Responsible for all aspects of the assigned organization's credentialing, re-credentialing and privileging processes for all medical providers who provide patient care. The Credentialing Specialist will ensure providers are credentialed, appointed, and privileged with health plans, hospitals, and patient care facilities. In addition, the Credentialing Specialist will maintain up to date data for each provider and ensure timely renewal of licenses and certifications, as well as maintain payer enrollment for providers and the assigned Empath Health organizations. Additionally, responsible for maintaining all contracted vendor credentialing requirements, for all vendors that serve patient's or participants, for all assigned programs within Empath's continuum of care. What you'll Do Tracks and maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers. Collaborate with those responsible for contract management to assure all credentialing requirements are met. Completes payor enrollment credentialing and re-credentialing applications; monitors and follows up as needed, creates provider rosters and maintains providers and organization in payor online portal Maintains knowledge of current accreditation and regulatory requirements for credentialing providers. Provides credentialing verification for all Vendors contracting to provide patient care for all programs including but not limited to, Hospice, PACE, EPIC, Palliative, Home Health, Medical Services, etc. Collaborates with Physician Services to provide support in obtaining and maintaining hospital privileges for Empath medical providers. Works closely with finance staff to identify and resolve any issues related to provider credentialing. Why Join Empath Health?