Physician Services Analyst II

Job description

Description JOB PURPOSE: A non-exempt position responsible for the accurate and timely processing of provider credentialing, enrollment, and re-credentialing for medical facilities and health plans. This role supports provider onboarding and ongoing compliance by coordinating with internal departments, practitioners, medical staff offices, and external payer entities to ensure credentialing requirements are met efficiently and in accordance with organizational policies. JOB FUNCTIONS: - Initiate and support the credentialing application process by requesting, receiving and analyzing the provider’s documents for submission to the facilities for approval for medical staff privileges and payer credentialing/enrollment - Collectively works with recruitment for onboarding practitioners and medical staff office team to assure practitioner’s credentialing process is efficient and timely - Use critical thinking to conduct follow-up with individual practitioners, internal and external entities to resolve discrepancies identified during credentialing and enrollment process that may inhibit timely onboarding - Manage all phases of payer credentialing/enrollment, re-credentialing/re-enrollment...