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Hartford City, IN

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Connserville, IN

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Jacksonville, AL

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Spanish Fort, AL (Daphne)

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Kendallville, IN

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Martinsville, IN

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Thompson’s Station

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Tullahoma Sunrise Pediatrics

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Sulphur (Carlyss)

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Russellville, KY

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Madisonville, KY

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Madisonville, TN

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Lawrenceburg, KY

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Knoxville, Western Avenue

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Knoxville, Middlebrook Pike

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Shelbyville Kids are Special

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Holly Springs, MS

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Knoxville (Cedar Lane)

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RHC Credentialing Lead JobFranklin, TN

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Why You'll Love This Job

Fast Pace Health strives to provide a best in class patient experience in every interaction. We are seeking a highly-skilled, experienced RHC Credentialing Lead to join our growing team. Our ideal candidate will be deeply committed to nurturing our Fast Pace mission of teamwork, communication, empowerment and quality care in a friendly and encouraging environment.


Fast Pace Health aims to push for a new vision of healthcare in rural communities that will consist of an array of different services. We are changing the delivery of healthcare in these rural areas by integrating excellent patient care, education, accessibility, and community service, in a way that puts the patient’s needs first and improves the health status of our communities.

In a way, that best supports our values, the individual is responsible for overseeing the daily activities of credentialing and payor enrollment processes for Fast Pace. The Credentialing Lead will play an important role in leading, coordinating, monitoring, and maintaining the credentialing and re-credentialing process. The RHC Credentialing Lead will lead and manage the credentialing process as part of RHC enrollment and application processes for all applicable states and locations under the direction of the RHC program. The Credentialing Lead ensures interpretation and compliance with the appropriate accrediting and regulatory agencies, while developing and maintaining a working knowledge of the statues and laws relating to credentialing and payor enrollment.

 

Below, we have provided a high level view of what the role entails, with the complete job description discussed in detail during our interviewing process.

 

  • Lead and manage the RHC credentialing process for Fast Pace and all affiliated entities.
  • Direct a team to complete and assist in credentialing process to meet all goals and objectives.
  • Obtains, verifies, and analyzes all required information pertinent to internal and external credentialing.
  • Organizes the credentialing process to meet required timelines.
  • Educates and supports clinicians in completing the credentialing process.
  • Interfaces with health plan contacts to understand and support the credentialing application and completion process.
  • Supports company processes to assure licensure and certification are maintained.
  • Supports company processes for state regulatory requirements for physicians, nurse practitioners, physician assistants and other providers.
  • Participates with the team to implement and adhere to policies, procedures, and systems to ensure timely data entry and enrollments in current Practice Management system.
  • Ensures adherence to objectives, operating policies and procedures, and strategic action plans for achieving goals.
  • Collaborates with Manager of Credentialing to create new processes and procedures as needed to improve overall claims escalation process.
  • Performs a variety of administrative duties including, but not limited to: answering phones, faxing and filing
  • Responsible for learning the aspects of compliance in the company by completing all mandatory compliance training.
  • The ability to maintain friendly, cordial relations with fellow coworkers.
  • The ability to build and maintain confidence and credibility with fellow coworkers.
  • The ability to maintain friendly, cordial relations with all clients and employees; maintain a positive work atmosphere by acting and communicating in a manner that results in a positive work relationship with customers, co-workers and managers.
  • The ability to perform the physical, use of senses, cognitive, and environmental functions of the position, as specified on the physical demands.
  • Ability to comply with Company standards of operations.
  • Ability to adhere to the Core Values of the Company, of teamwork, communication, empowerment, quality of care, and friendliness.
  • The ability to promote and maintain a respectful culture of employee, employer and business confidentiality.
  • Perform other duties as assigned by management.
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