Independent Credentialing Specialist (Contract)
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AI Summary
Manage the credentialing and enrollment of multiple providers with commercial payers, Medicare, and Medicaid across various facilities. Secure hospital privileges and maintain provider profiles in CAQH, PECOS, and NPPES while tracking expirables.
About Us
Rizk Orthopedic is a growing orthopedic practice in Jacksonville, Florida, led by Dr. Ralph Rizk. As our providers expand into new hospitals and facilities, we are looking for an experienced credentialing professional to credential our doctors at each new facility they choose to practice in.
The Opportunity
This is a contract role, not a salaried position. We are looking to work with a credentialing specialist or credentialing service on a per payer and per facility basis. You will be paid a flat fee for each completed payer enrollment and each facility privileging you secure for our providers. This is ideal for an experienced credentialer who wants flexible, results based work and is confident managing multiple providers across multiple facilities.
Scope of Work
Credential and enroll multiple providers with commercial payers, Medicare, and Medicaid at each new facility the practice expands into
Secure and maintain hospital and facility privileges for providers as they choose to grow into new locations
Prepare, submit, and follow each application through to approval
Maintain and update provider profiles in CAQH, PECOS, and NPPES as needed for each enrollment
Track expirables tied to active enrollments, including licenses, DEA registrations, and board certifications
Keep the practice updated on the status of every application in progress
Optional ongoing maintenance of completed credentials, priced separately if desired
Compensation Structure
Paid per payer enrollment completed, per provider
Paid per facility privileging completed, per provider
Optional monthly maintenance fee available for upkeep of active credentials
Please include your per payer and per facility rates, or your standard fee schedule, with your response
Qualifications
Three or more years of credentialing experience, preferably across multiple providers and facilities
Strong working knowledge of CAQH, PECOS, NPPES, and payer enrollment processes
Experience with hospital and surgery center privileging
Able to manage credentialing for several providers and multiple facilities at once
Highly organized with strong attention to detail and consistent follow through
Experience in orthopedics or a surgical specialty is a plus
Rizk Orthopedic is a growing orthopedic practice in Jacksonville, Florida, led by Dr. Ralph Rizk. As our providers expand into new hospitals and facilities, we are looking for an experienced credentialing professional to credential our doctors at each new facility they choose to practice in.
The Opportunity
This is a contract role, not a salaried position. We are looking to work with a credentialing specialist or credentialing service on a per payer and per facility basis. You will be paid a flat fee for each completed payer enrollment and each facility privileging you secure for our providers. This is ideal for an experienced credentialer who wants flexible, results based work and is confident managing multiple providers across multiple facilities.
Scope of Work
Credential and enroll multiple providers with commercial payers, Medicare, and Medicaid at each new facility the practice expands into
Secure and maintain hospital and facility privileges for providers as they choose to grow into new locations
Prepare, submit, and follow each application through to approval
Maintain and update provider profiles in CAQH, PECOS, and NPPES as needed for each enrollment
Track expirables tied to active enrollments, including licenses, DEA registrations, and board certifications
Keep the practice updated on the status of every application in progress
Optional ongoing maintenance of completed credentials, priced separately if desired
Compensation Structure
Paid per payer enrollment completed, per provider
Paid per facility privileging completed, per provider
Optional monthly maintenance fee available for upkeep of active credentials
Please include your per payer and per facility rates, or your standard fee schedule, with your response
Qualifications
Three or more years of credentialing experience, preferably across multiple providers and facilities
Strong working knowledge of CAQH, PECOS, NPPES, and payer enrollment processes
Experience with hospital and surgery center privileging
Able to manage credentialing for several providers and multiple facilities at once
Highly organized with strong attention to detail and consistent follow through
Experience in orthopedics or a surgical specialty is a plus
This is a remote position.
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