Credentialing Specialist

Job description

Healthcare Outcomes Performance Company is a vertically integrated musculoskeletal outcomes management company. HOPCo manages physician practices, hospital service lines, population health and value-based care programs, and musculoskeletal delivery networks. HOPCo is the managing partner of Arizona-based entities, CORE Institute, Northern Arizona Orthopaedics, CORE Institute Specialty Hospital, Michigan-based CORE Institute, and Florida-based Southeast Orthopedic Specialists Clinics and Musculoskeletal Specialty Hospital. As HOPCo continues to grow, we are looking for a Credentialing Specialist to join the Credentialing Team. Please see below for the functions and requirements for this position. ESSENTIAL FUNCTIONS: - Reviews and completes hospital and payor applications for all health care providers. - Completes verification forms/letters for outside facilities. - Maintain billing insurance grid, provider insurance grid and each individual physician’s spreadsheet up to date on current insurance changes. - Track and maintain physician licensure(s), certification and CME credits. - Maintain practitioner credentialing files. - Maintain practitioner electronic file by keeping all appl...