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Managed Care Credentialing Spc Job in Akron, Ohio US

Managed Care Credentialing Spc

CHILDRENS HOSPITAL MEDICAL CENTER OF AKRON - Akron, OH

Posted: 10/23/2021 - Expires: 1/21/2022

Job ID: 233254252

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Job Description

About Akron Children's Hospital

Akron Children's Hospital has been caring for children since 1890, and our pediatric specialties are ranked among the nation's best by U.S. News & World Report. With two hospital campuses, regional health centers and more than 50 primary and specialty care locations throughout Ohio, we're making it easier for today's busy families to find the high-quality care they need. In 2020, our health care system provided more than 1.1 million patient encounters. We also operate neonatal and pediatric units in the hospitals of our regional health care partners. Every year, our Children's Home Care Group nurses provide thousands of in-home visits, and our School Health nurses manage clinic visits for students from preschool through high school. With our Quick Care Online virtual visits and Akron Children's Anywhere app, we're here for families whenever and wherever they need us. Learn more at .

OUR PROMISES
To treat every child as we would our own
To treat others as they would like to be treated
To turn no child away for any reason

We are seeking people who are committed to fostering a diverse environment in which patients, family and staff from a variety of backgrounds, cultures, and personal experiences are welcomed, included and can thrive.

Summary:
The Managed Care Provider Enrollment Specialist coordinates the provider enrollment process for the hospital's employed physicians and others to obtain participation status with managed care organizations [MCOs] and governmental agencies under contract with the hospital.

Responsibilities:
1.Coordinates the provider enrollment process for the hospital's employed physicians and others to obtain participation status with managed care organizations [MCOs] and governmental agencies under contract with the hospital.

2.Maintains ongoing communication with MCOs and governmental agencies and employed providers' offices to update provider information, troubleshoot and problem solve regarding provider participation issues.

3.Develops, maintains and uses applicable databases to support accurate and timely enrollment reporting.

4.Promotes positive relationships between hospital, MCOs, governmental agencies, and referring physicians through internal and external communication regarding providers' participation status.

5.Works independently and completes special tasks as assigned.

6.Other duties as required.

Other information:
Technical Expertise
1.Experience in managed care provider credentialing or enrollment and provider relations is preferred.

2.Experience in customer service is required.

3.Experience working with all levels within an organization is required.

4.Experience in healthcare is preferred.

5.Proficiency in MS Office [Outlook, Excel, Word] or similar software is required. Database management software is required.

Education and Experience
1.Education: Associate's degree in related field or 2 years college experience is required; Bachelor's degree is preferred.

2.Certification: None.

3.Years of relevant experience: 0 to 2 years is preferred.

4.Years of experience supervising: None.

Full Time

FTE:  1.000000

Akron Children's Hospital is an Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individual with Disabilities.

EEO is the law, please click/copy paste the link below to learn more:

https://www.eeoc.gov/sites/default/files/migrated_files/employers/eeoc_self_print_poster.pdf

Akron Children's Hospital is an Equal Opportunity Employer of Minorities, Females, Protected Veterans, and Individual with Disabilities.
EEO is the law, please click/copy paste the link below to learn more:
http://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf

Job Summary

Employment Type:
Full Time Employee
Job type:
Federal Contractor
Skill Based Partner:
No
Education Level:
High school graduate
Work Days:
Mon, Tue, Wed, Thu, Fri
Job Reference Code
60778566
Salary
N/A
Licenses / Certifications:
N/A
Display Recommended WorkKeys®Recommended WorkKeys®:
N/A