Providence Health & Services Provider Concierge Coordinator in Spokane, Washington
Providence is calling a Provider Concierge Coordinator (Day Shift, 1.0 FTE Full Time) to Providence Medical Group in Spokane, Washington. We are a community of caregivers delivering every day on our Mission to provide compassionate care that is accessible for all - especially those who are poor and vulnerable.
In this position you will:
Initiate credentialing & privileging packets, obtain all physician information and signatures.
Coordinate with the Medical Staff Offices for hospital privileging.
Complete entire payer credentialing process for non-delegated payers. Coordinate with delegated credentialing committee staff to obtain approval from committee
Coordinate ongoing re-credentialing with Medical Staff Services for hospital privileging after initial onboarding. Coordinates re-credentialing with the Delegated Credentialing Team for delegated insurance payers after initial credentialing.
Maintain master files for clinic credentialing to include CLIA licenses, PAC practice plans, W9’s, certificates of insurance and other clinic credentialing identifiers (NPI numbers, Tax-ID numbers and payor ID’s).
Complete weekly tasks related to credentialing claim edits in both Epic and legacy billing systems. Ensures compliance with all federal programs by completing other enrollment related projects as assigned.
Coordinate the provider departure process for PMG providers. Including timely notification to internal stakeholders when provider and/or Providence give notice of a provider termination.
Implement Providence-wide standard operating procedures into the regional market for the onboarding and off boarding of all employed Providence providers in the regional market that you support.
Required qualifications for this position include:
Bachelor’s degree or equivalent education. Field of Study: Health care administration, business administration or related field. (6 years of experience working directly with physicians in a clinical setting will be considered in lieu of a Bachelor’s degree)
2 years healthcare experience working with physicians in a clinic or hospital setting
Knowledge of health care environment, medical office policies and procedures
Experience with Desktop software, including Word, Excel, PowerPoint, Project. Clinical applications, including, but not limited to, Epic, Centricity Business, MSOW, ProvConnect, ProvReports, and Selectica (Physician Contract software). PC peripherals and other office or AV equipment, such as digital projectors, fax, copier
Basic human resource management practices and knowledge of payer contracts and credentialing
About the clinic you will serve.
Providence Medical Group is a group of primary care, specialty care and hospital-based medical providers who serve eastern Washington in clinic locations. Our providers and staff strive to create a distinctive health care experience for each patient – one focused on trust, respect, communication and teamwork.
We offer a full comprehensive range of benefits - see our website for details
As people of Providence, we reveal God's love for all, especially the poor and vulnerable, through our compassionate service.
Providence Health & Services is the third largest not-for-profit health system in the United States. Providence employs more than 82,000 caregivers (employees) across a five-state area; AK, WA, MT, OR, and CA. Our facilities include 34 hospitals, 600 physician clinics, senior services, supportive housing and other health and educational services. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Billing / Insurance
Req ID: 165461