Jafferjee Brothers Exports (Pvt) Ltd
Ready is an on-demand mobile health service that delivers non-emergency care directly to patientsTo accomplish this, ready sends a trained health professional, which we call a “responder,” to facilitate a telehealth visit between the patient and a licensed clinician.
With ready, patients now have access to quality care in their homes, 12 hours a day, 365 days a year, and talented individuals are provided the opportunity to work with a rapidly growing, mission-driven companyWe hope you will join us.
What you'll do
Responsible for payer communicationContact payers to check and maintain provider enrollment and credentialing statusFollow up on effective dates by phone call and email.
Respond to external credentialing inquiries, for example verifications in an accurate and timely manner.
Coordinate clinician onboarding, with the clinical operations and human resources departments.
Collect, verify and ascertain information needed to process new applications and re-credentialing applications, and materials to ensure timely payer enrollment.
Create and maintain accurate logs for mail, new applications, re-appointments and system generated letters and track progressAccurately update complete hr and clinical files for all medical employees at ready, not limited to clinicians.
Maintain copies of current state licenses, certificates, and any other required credentialing documents for all providers.
Assist with creating, preparing and maintaining up to date provider credentialing files, databases and rosters (including, but not limited to microsoft excel, caqh, availity).
Set up and maintain provider information in credentialing databases and systemsAccurately input and record initial and ongoing dataMaintain the credentialing databases and ensure up-to-date information is obtained at all times.
Track license and certification expirations for all providers to ensure timely renewals.
Responsible for monitoring and managing credentialing/re-credentialing requirements and to ensure the collection of all required renewal certifications are on file within the required time frame.
Work with providers to obtain missing, expired or out of date documentsThis will involve coordinating with numerous stakeholders, including medical boards.
Process provider demographic changes ensuring appropriate documentation has been submitted with the changes, update credentialing database and notify providers of changes.
Communicate with key internal stakeholders and other departments such as partnerships and marketing to ensure effective credentialing processing, and legal and compliance for supplemental administrative support.
Develop and distribute ad hoc report requests as requested.
What you’ll need
Undergraduate bachelor’s degree, or associates degree and 4 years of experience may also be considered
Candidate must be 18 years of age or older
A valid driver’s license for postage delivery and pick up
Successfully pass background check requirements
3 years of healthcare credentialing experience required
Data management qualifications
Prior experience with state and government enrollment processes, such as medicare and medicaid
Candidate needs eligibility to work in the us without company visa sponsorship