<p style="text-align:left">If you are looking to make an impact on a meaningful scale, come join us as we <b>embrace the Power of One!</b><br> </p><p style="text-align:left">We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we’ve served the health care needs of the people of Memphis and the Mid-South.<br> </p>Responsible for coordinating, monitoring and maintaining the Credentialing and Re-credentialing processes for the employed providers in relationship to participation with healthcare plans and hospitals for privileges. Facilitates and performs all aspects of credentialing, including appointment, re-appointment, monitoring and privileging of the MHMH Medical Staff Members and Allied Health Professionals. Models' appropriate behavior as exemplified in MLH Mission, Vision and Values.<p style="text-align:inherit"><br> </p>Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence.<br><br><b>A Brief Overview</b><br>Responsible for coordinating, monitoring and maintaining the Credentialing and Re-credentialing processes for the employed providers in relationship to participation with healthcare plans and hospitals for privileges. Facilitates and performs all aspects of credentialing, including appointment, re-appointment, monitoring and privileging of the MHMH Medical Staff Members and Allied Health Professionals. Models' appropriate behavior as exemplified in MLH Mission, Vision and Values. <br><br><b>What you will do</b><ul><li>Facilitates and performs all aspects of provider enrollment including credentialing and re-credentialing of Physicians and Allied Health.</li> <li>Professionals in accordance with the policies and procedures of insurance payers.</li> <li>Tracks and maintains enrollments through timely re-validations.</li> <li>Performs follow-up with insurance payors.</li> <li>Establishes providers’ CAQH (Council for Affordable Quality Healthcare) profiles. Maintains profiles, uploads documents as required,</li> <li>and re-attests.</li> <li>Performs various clerical functions related to the credentialing process.</li></ul><br><b>Education/Formal Training Requirements</b><br><ul><li>Required - Bachelor's Degree Healthcare Administration </li><li>Preferred - Bachelor's Degree Business Administration </li> <li>Preferred - High School Diploma or Equivalent </li></ul><br><b>Work Experience Requirements</b><br><ul><li>Required - Provider <span style="overflow-wrap: break-word; display: inline; text-decoration: inherit; hyphens: auto;">Enrollment/Credentialing</span> in a healthcare setting 3-5 years </li></ul><br><b>Knowledge, Skills and Abilities</b><br><ul><li>Knowledge of insurance payer market as it relates to the Memphis Metropolitan area.</li> <li>Knowledge of medical and professional credentialing processes including provider enrollment with the various payers and privilege appointments with various hospitals.</li> <li>Skill and proficiency with Symplr, Microsoft Word, Outlook, OneNote and Excel.</li> <li>Proficiency in NPPES, PECOS and Availity.</li> <li>Strong verbal and written communication skills.</li> <li>Ability to handle assignments independently with demonstrated analytical and interpersonal skills.</li> <li>Demonstrates ability to maintain excellent customer service skills and customer relations under stressful conditions.</li> <li>Ability to function with minimal supervision and communicate effectively with high level Associates within the Provider Enrollment community and their office staff.</li> <li>Ability to set priorities, coordinate multiple tasks, organize tasks, and maintain control of workflow.</li> <li>Strong organizational skills and must be detail oriented.</li> <li>Demonstrated deductive reasoning and ability to use reference materials.</li></ul><br><b>Supervision Provided by this Position</b><br><ul><li>There are no supervisory or lead responsibilities assigned to this job.</li></ul><br><b>Physical Demands</b><br><ul><li>The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion. </li> <li>Must have good balance and coordination. </li> <li>The physical requirements of this position are: light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently. </li> <li>The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading. </li> <li>The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work. </li> <li>Occasional travel to other facilities. </li></ul><br>Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and unity.<p style="text-align:left"><br>Boasting one of the South's largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see each day as a new opportunity to make a difference in the lives of the people in our community.</p>