
Non-Emergency Medical Transportation
2 weeks ago
We are seeking a dedicated and detail-oriented Credentialing Specialist to join our team. The ideal candidate will play a crucial role in ensuring that our healthcare providers are appropriately credentialed and compliant with all regulatory requirements.
Key Responsibilities:
Credentialing Process:
Manage the credentialing and re-credentialing process for healthcare providers, including physicians, nurses, and other medical staff. Gather, verify, and maintain all necessary credentials, licenses, certifications, and insurance documentation. Ensure compliance with industry standards, state and federal regulations, and accreditation requirements.
Provider Enrollment:
Complete applications for provider enrollment with insurance companies, Medicare, Medicaid, and other third-party payers. Monitor the status of provider enrollments and address any issues or discrepancies.
Database Management:
Maintain accurate and up-to-date provider information in the credentialing database. Conduct regular audits to ensure data integrity.
Communication:
Liaise with healthcare providers to obtain required documents and information. Collaborate with internal teams, such as HR and billing, to facilitate the credentialing process.
Compliance:
Stay current on industry regulations and accreditation standards. Ensure that the organization’s credentialing processes meet all compliance requirements.
Reporting:
Generate reports on credentialing status, expirations, and compliance metrics for management.
Qualifications:
• Bachelor’s degree in healthcare administration, business, or a related field (preferred).
• Previous experience in healthcare credentialing and provider enrollment specifically with an NEMT company is required.
• Knowledge of credentialing and enrollment software and databases.
– Familiarity with healthcare regulations, including Medicare and – Medicaid.
• Strong organizational skills and attention to detail.
• Excellent written and verbal communication skills.
• Ability to work both independently and collaboratively in a team environment.
• Preferably located in the Philippines
If you possess the skills we are looking for, we encourage you to apply and join our dynamic team. Please send us your updated resume, and we will promptly schedule an interview
Job Features Job CategoryHR & Admin, Medical & Health
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Job Hiring Privacy Policy
Introduction
We value your privacy and are committed to protecting your personal information during the recruitment process. This Job Hiring Privacy Policy outlines how we collect, use, store, and protect your data in connection with job applications and employment opportunities within our organization.Information We Collect We collect the following types of personal information from job applicants:
- Personal Identification Information : Name, address, phone number, email address, and other contact details.
- Employment Information : Resume, cover letter, work history, educational background, and references.
- Identification Documents : Government-issued identification, if required for certain positions.
- Additional Information : Information provided during interviews, assessments, or any communication related to the hiring process.
- Recruitment and Hiring : To evaluate your qualifications, assess your suitability for the position, and communicate with you about your application.
- Verification : To verify the information provided by you, including contacting references and conducting background checks if applicable.
- Compliance : To comply with legal and regulatory requirements.
- Internal Personnel : Hiring managers, human resources, and other relevant team members involved in the recruitment process.
- Third-Party Service Providers : Background check agencies, assessment providers, and other external organizations assisting with the hiring process.
- Legal and Regulatory Authorities : When required by law or in response to legal requests.
- Access : Request a copy of the personal information we hold about you.
- Rectification : Request correction of any inaccurate or incomplete information.
- Erasure : Request deletion of your personal information, subject to legal and regulatory requirements.
- Objection : Object to the processing of your data for specific purposes.
- Data Portability : Request the transfer of your data to another organization.
- Email :
- Address : IT Park, Cebu City
- Phone :
Job Hiring Terms and Conditions
Introduction These Job Hiring Terms and Conditions outline the process, expectations, and obligations involved in applying for a position within our organization. By submitting your application, you agree to comply with and be bound by the following terms and conditions.Introduction These Job Hiring Terms and Conditions outline the process, expectations, and obligations involved in applying for a position within our organization. By submitting your application, you agree to comply with and be bound by the following terms and conditions.1. Application Process
1.1 Eligibility : Applicants must meet the minimum qualifications and requirements specified in the job posting.
1.2 Submission : All applications must be submitted through our designated application portal or as specified in the job posting.
1.3 Accuracy of Information : Applicants must provide accurate and complete information. Any false or misleading information may result in disqualification or termination of employment if discovered after hiring.
2. Screening and Selection2.1 Initial Screening : Applications will be reviewed to determine if candidates meet the basic qualifications.
2.2 Interviews : Shortlisted candidates will be contacted for interviews. These may be conducted in person, via phone, or through video conferencing.
2.3 Assessments : Additional assessments or tests may be required as part of the selection process.
3. Background Checks3.1 Authorization : By applying, candidates authorize the company to conduct background checks, including verification of employment history, education, and criminal records.
3.2 Confidentiality : All background check information will be treated confidentially and used solely for the purpose of evaluating candidates.
4. Job Offer and Acceptance4.1 Job Offer : Successful candidates will receive a formal job offer outlining the terms of employment, including position, salary, benefits, and start date.
4.2 Acceptance : Candidates must formally accept the job offer within the specified timeframe. Failure to respond may result in the offer being withdrawn.
4.3 Probationary Period : New hires may be subject to a probationary period, during which their performance will be evaluated to ensure suitability for the role.
5. Employment Terms5.1 Employment Agreement : New employees will be required to sign an employment agreement detailing the terms and conditions of their employment.
5.2 Company Policies : Employees must adhere to all company policies and procedures, which will be provided upon commencement of employment.
6. Confidentiality and Data Protection6.1 Confidentiality : Applicants must maintain the confidentiality of any proprietary information obtained during the application process.
6.2 Data Protection : Personal data provided by applicants will be processed in accordance with our Privacy Policy and applicable data protection laws.
7. Non-Discrimination7.1 Equal Opportunity : We are an equal opportunity employer and do not discriminate based on race, color, religion, sex, national origin, age, disability, or any other protected characteristic.
7.2 Reasonable Accommodations : We will provide reasonable accommodations to qualified individuals with disabilities to enable them to participate in the application process.
8. Amendments8.1 Policy Changes : We reserve the right to amend these terms and conditions at any time. Changes will be communicated to applicants as necessary.
Contact Information For any questions or concerns regarding these Job Hiring Terms and Conditions, please contact us at:- Email :
- Address : IT Park, Cebu City
- Phone :
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