• Helping You Manage the Business of Healthcare



    Helping You Manage the Business of Healthcare

    Knowledge. Vision. Results.
  • Professional Management Services

    Learn how to improve your healthcare practice today
    Successful medical practices recognize that managing every aspect of the business results in financial success.
    Zetter HealthCare can position your practice for future success through industry-savvy business development and strategic planning


    Streamline Your Practice Now!

  • Events and Speaking Engagements

    Attend events and webinars to stay current.
    A nationally recognized and requested speaker, David Zetter presents on a plethora of topics regarding every aspect of the business side of medicine.


    See whats next!

  • Resources and Links

    Broaden your healthcare resrouces.
    A treasure trove of resources to help you and your practice achieve success. From employment opportunities, free downloadable forms & documents to links to the most important sites you need to access to stay on top of your business.

    Connect me!

  • 1
  • 2
  • 3
  • 4
Our next event is in 53 days!
Loyola University Water Tower Campus, Chicago, IL
Date and Time: 8:00am - 5:00pm August 17, 2018

Services

  • Practice Management Services >

    Fee Schedule Development & Analysis Revenue Cycle Management Review & Analysis
    Collection Follow-up Methods for Patient Responsibility and Insurance Receivables Provider Productivity Analysis
    Patient Flow Analysis Malpractice & Other Insurance Review
    Read More
  • Financial & Tax Services >

    Practice Financial Modeling for Bottom Line Goal Attainment Overhead Analysis
    Retirement Plan Administration Personal Financial Planning
    Tax Preparation Quarterly Tax Estimates (prevent April 15th surprises)
    Read More
  • Practice Structure Services >

    Practice Start-up Governance Documentation
    Group Merger, Acquisition & Integration Group Formation
    Buy-In and Buy-Out Arrangements New Provider Compensation Packages
    Read More
  • Human Resource Management, Compensation and Benefits >

    Personnel Recruitment and Training Personnel Policy and Procedures Manuals
    Employee Handbooks Employee Performance Evaluations
    Staff Compensation Management Systems Staff Compensation Reviews
    Read More
  • Regulatory Compliance >

    Medical Coding/Chart Reviews and Action Plans Coding & Documentation Education & Training
    Healthcare Reimbursement Compliance OSHA Compliance
    Medicare Fraud, Waste & Abuse Compliance Stark Compliance
    Read More
  • Planning and Marketing Services >

    Strategic Planning New Product / Service Development
    Patient Surveys Practice Marketing Strategies
    Provider Networking Web Site Development & Hosting
    Read More
  • Personal Financial Planning >

    Retirement Planning Estate Planning
    Education Funding for Children Tax Planning
    Business Succession Risk/Life Insurance Analysis
    Read More
  • 1

Credentialing Specialist - Mechanicsburg, PA

Credentialing Specialist

Zetter HealthCare
Mechanicsburg, PA

Applicants only.  No agencies, please.

JOB TITLE:                        Credentialing Specialist
REPORTS TO:                  Senior Consultant
FLSA STATUS:                  Non-exempt or Exempt
JOB OVERVIEW:              Responsible for all aspects of the credentialing, recredentialing and privileging process for all Zetter HealthCare client providers.  Responsible for ensuring providers are credentialed, appointed, and privileged with health plans, hospitals and patient care facilities as directed.  Maintain up-to-date data and documents in CAQH, NPPES, PECOS for each provider in credentialing databases and online systems, ensure timely receipt and submission of all licenses and certifications.
 
ESSENTIAL FUNCTIONS INCLUDE, BUT ARE NOT LIMITED TO:
 
1.      Compiles and maintains current and accurate data for all providers.
2.      Completes provider credentialing and recredentialing applications; monitors applications and follows-up as needed to obtain information from providers, clients or other contacts.
3.      Maintains copies of current state licensure, DEA/CDS certificates, malpractice coverage and cases, and any other required credentialing documents for all client providers.
4.      Maintains corporate provider contract files.
5.      Maintains knowledge of current health plan and agency requirements for credentialing providers.
6.      Sets up and maintains provider information in online credentialing databases and system.
7.      Tracks license, certification and malpractice expirations for all providers to ensure timely renewals.
8.      Ensures practice addresses are current with health plans, agencies and other entities.
9.      Processes applications for appointment and reappointment of privileges with hospitals and facilities as applicable.
10.    Maintains appointment files and information in credentialing database.
11.    Performs other duties as delegated.

ADDITIONAL RESPONSIBILITIES:
 
1.      Maintains confidentiality of provider information.
2.      Provides credentialing and privileging verifications
3.      Performs other duties as assigned.
 
QUALIFICATIONS:
 
Education:
1.      High school diploma or equivalent.
2.      Associate degree preferred.
 
Certification/Licensure: Certified Provider Credentialing Specialist (CPCS) preferred.
 
Experience: Two years of relevant medical credentialing experience.REQUIRED
 
COMPENSATION & BENEFITS:
  • Wages commensurate with work experience
  • Health insurance available based on current benefit package
  • Paid Time Off
  • Continuing education
  • Corporated paid malpractice
  • Safe Harbor 401k retirement plan after 1 year

Applicants only.  No agencies, please.

Qualified individuals may submit their resume to:
Zetter HealthCare,  Attn: David J. Zetter at hr@zetter.com or by fax to (717) 691-6855

Most Popular

  • All
  • APMs
  • CEHRT
  • MACRA
  • Medicaid
  • MIPS
  • QMB
  • UHC,
  • UnitedHealthcare
  • Default
  • Title
  • Date
  • Random