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<h3>Job Description</h3>
Job Description
Summary
Responsible for collaborating with CVO, credentialing TMs and provider network operations contracting team to coordinate, monitor and maintain the credentialing and re-credentialing process for Health Delivery Organizations (HDO).

Duties and Responsibilities
1.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Coordinates all activities related to network HDO credentialing including, but not limited to application completeness and maintenance for HDOs.
2.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Identifies issues that require additional investigation and evaluation, validates discrepancies and ensures appropriate follow up.
3.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Ensures that all facilities meet standards related to quality improvement programs and personnel issues.
4.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Verifies that providers are accredited by an appropriate accrediting agency before submission for HDO credentialing and recredentialing processes.
5.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Oversees preparation of HDO credentialing/recredentialing files for completion and presentation to MedPOINT’s Credentialing Committee.
6.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Responds to inquiries from health plans and potential HDO locations; interfaces with internal and external customers on day-to-day credentialing issues as they arise.
7.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Optimizes efficiencies with document generation and reporting.
8.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Establish Health Delivery Organization (HDO) material timelines and ensure that cadenced documents are received.
9.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Coordinates primary source verification process for HDOs with Gemini Diversified Services, MedPOINT’s current Credentialing Verification Organization (CVO).
10.&nbsp;&nbsp; Enters primary source documentation in home grown credentialing database and/or symplr once implemented department wide.
11.&nbsp;&nbsp; Participates in MPM credentialing committee meetings (monthly and ad hoc).
12.&nbsp;&nbsp; Collects and verifies quarterly provider rosters from HDOs.
13.&nbsp;&nbsp; Assists with P &amp; P development in accordance with NCQA guidelines for HDO credentialing.
14.&nbsp;&nbsp; Ensures that correct information regarding HDOs is documented on annual health plan delegation documents.
15.&nbsp;&nbsp; Assists with P &amp; P development in accordance with NCQA guidelines for HDO credentialing.
16.&nbsp;&nbsp; Contributes information to any corrective action plans related to HDOs.
17.&nbsp;&nbsp; Assists with non-HDO credentialing functions as requested by leadership as time permits.
18.&nbsp;&nbsp; Performs miscellaneous job-related duties as assigned and requested.
19.&nbsp;&nbsp; Adhere to MedPOINT Management’s core values: Accountability, Community, Celebration, Integrity, Innovation &amp; Collaboration.

Minimum Job Requirements
·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; High school diploma or GED.
·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Minimum of one year experience with hospital medical staff, health plan or managed care credentialing experience including HDO processing.
·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; NAMSS Certification as a Certified Professional Medical Services Manager (CPMSM) or Certified Provider Credentials Specialist (CPCS) or actively pursuing one of these certifications highly preferred.
·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Proficiency with Microsoft Office products; primarily Word and Excel 2013 or higher.
·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Knowledge or all aspects of credentialing including HDO Credentialing.
·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; EZ-CAP, Gemini G1 knowledge a plus
Skill and Abilities
·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Excellent presentation and analytical skills.
·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Strong written and verbal communication skills.
·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Ability to analyze, interpret and prepare reports.
·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Ability to multitask and work well as a team.
·&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Able to work independently and productively in a remote environment.

HDO Credentialing Coordinator

<h3>Job Description</h3>
Job DescriptionBenefits/Perks
<ul>
<li>Flexible Scheduling</li>
<li>Competitive Compensation</li>
<li>Careers Advancement&nbsp;</li>
</ul>
Job SummaryWe are seeking a Medical Assistant to join our team. In this role, you will collect patient information, call in the medications, process patient admissions, and be responsible for the general organization and maintenance of patient records. The ideal candidate is highly organized with excellent attention to detail.&nbsp; Responsibilities&nbsp;
<ul>
<li>Follow all clinic procedures in the accurate maintenance of patient records</li>
<li>Triage the patients</li>
<li>Ensure all patient paperwork is completed and submitted in an accurate and timely manner</li>
<li>File patient medical records and information</li>
<li>Maintain the confidentiality of all patient medical records and information</li>
<li>Call in prescriptions&nbsp;</li>
<li>Other administrative and clerical duties as assigned</li>
</ul>
Qualifications
<ul>
<li>Previous experience as a Medical Assistant or in a similar role is preferred</li>
<li>Knowledge of medical terminology and administrative processes</li>
<li>Familiarity with information management programs, Microsoft Office, and other computer programs</li>
<li>Excellent organizational skills and attention to detail</li>
<li>Strong interpersonal and verbal communication skills</li>
</ul>

Medical Assistant

<h3>Job Description</h3>
Job Description
Join the premier cancer treatment center on the East Coast - Virginia Cancer Institute is looking for a self-motivated, Medical Office Specialist/Secretary to join our team. Virginia Cancer Institute is a well respected, growing medical practice in the Richmond, Virginia market and is seeking a Medical Office Specialist/Secretary for our multiple-location Practice.
The position will greet, screen, schedule and direct patients throughout the office; verify insurance coverage with patients; answer telephones, screen calls, take messages, provide information, and check voice mail; call patients to reschedule their missed/no show appointments; call patients to remind them of their upcoming appointments; take incoming hospital/office consults; obtain medical records from referring physician’s; access hospital systems to get needed patient records; add new patient information into EMR system; open and distribute physician’s mail/faxes; obtain physician signatures, send out mail/faxes; prepare copies of CMN/Hospice referrals; compile and mail new patient information packets; obtain, verify and update patient information; provide support services to patients and medical staff; manage the physician’s weekly patient schedule; fit in patients, overbooks, vacations, blocked time; prepare patient charts; check insurance, referrals and co-pays; maintain the physician’s hospital list; add/remove patients, add information for billing; schedule provider, Lab and CT appointments for patients; write CT orders; scan necessary documents and unscanned charts into EMR system; review encounter forms to catch any missing information; maintain office equipment.
The qualified applicant should have some general office experience, preferably in the medical field. This role is a key, "team-player" position that requires accuracy, attention to detail, initiative and a pro-active approach to duties and responsibilities while working with patients, physicians and co-workers. The qualified applicant must demonstrate a positive attitude, with professional ethics, appearance and conduct.
We are a professional and encouraging work place, which offers a competitive salary and an outstanding benefits package. If you are interested in working in our stimulating work environment, with friendly and approachable physicians, please forward your resume with salary history via one of the following:
Human Resources Director
7202 Glen Forest Drive, Suite 200
Richmond, Virginia 23230
<a href="mailto:hr@vacancer.com" target="_blank">hr@vacancer.com</a>
Fax: 804-673-0436
<a href="http://www.vacancer.com" target="_blank">www.vacancer.com</a>
Company DescriptionVirginia Cancer Institute is a well-respected, leading Oncology Practice on the East Coast, with 6 facilities located throughout the Greater Richmond, Virginia market. 
<h3>Company Description</h3>
Virginia Cancer Institute is a well-respected, leading Oncology Practice on the East Coast, with 6 facilities located throughout the Greater Richmond, Virginia market.

Medical Office Specialist/Secretary

<h3>Job Description</h3>
Job Description
Join the excitement of a dynamic company committed to providing exceptional neurological rehabilitation to adults with brain injury&nbsp; Learning Services,&nbsp;a Collage Rehabilitation Partner is a growing organization dedicated to excellence, honesty and ethics in the treatment of our clients and each other. For more than 40 years, we’ve developed programs to meet the diverse needs of clients with moderate to severe traumatic and acquired brain injuries. We provide treatment for post-concussion syndrome, stroke, memory loss, neurobehavioral issues and accident or sports-related head injuries. &nbsp; We are searching for a&nbsp;PRN Physical Therapist&nbsp;to work primarily in our residential programs in Raleigh, NC.&nbsp;This position performs examinations, evaluations, and provides treatment to clients with medical or health related conditions that limit their abilities to move or perform functional activities of daily living.
 
Benefits include, but are not limited to:
<ul>
<li>Comprehensive benefit package (medical, dental, vision, disability, 401(k) and more)</li>
<li>Tuition Assistance</li>
<li>Referral Bonus</li>
</ul>
Requirements:
<ul>
<li>Completion of a bachelor’s degree in physical therapy and state licensure is required; professional certification and or a master’s degree in physical therapy is preferred</li>
<li>Experience in treatment of neurologically related physical disorders in community-based settings is strongly preferred</li>
<li>Must have a valid driver's license and responsible driving behaviors must be maintained</li>
<li>Must have the ability to travel up to 30% of the time spent working in this position</li>
<li>Ability to lift 50lbs</li>
</ul>
Collage Rehabilitation Partners is an equal employment opportunity employer.

PRN Physical Therapist

<h3>Job Description</h3>
We're looking for Cardiovascular Operating Room RNs for an immediate travel nurse opening in Hannibal, MO. The right RN should have 1-2 years recent acute care experience. Read below for more requirements.\n \nAs a CVOR RN, you'll be responsible for providing professional CVOR care services to support a team of physicians, RNs and other medical staff. Our CVOR Travel Nurses demonstrate advanced clinical expertise in circulating for a variety of cardiothoracic surgical procedures and other complex surgeries.\n \nAs a CVOR Travel Nurse, you should be prepared to perform the following tasks:\n
<ul>\n
<li>Assess, plan and evaluate the nursing care needs of the patient before, during and after a surgical procedure.</li>
\n
<li>Participate in the care of patients receiving conscious sedation.</li>
\n
<li>Administer prescribed medications, apply dressings, monitor vital signs.</li>
 \n
<li>Assist physician during procedures.</li>
\n
<li>Maintain aseptic techniques and actively monitor situations which could lead to breaches in aseptic technique.</li>
\n
<li>Coordinate the operating room with respect to sterility, cleanliness, availability of functioning equipment and supplies.</li>
 \n
<li>Ensure the proper handling of specimens.</li>
\n</ul>
\nCVOR Travel Nurses should be able to stand and walk for long periods of time, as well as bend, lean and stoop without difficulty. RNs should be able to easily lift 20 pounds. Moving or lifting of patients may require lifting of up to 50 pounds at times. Because of the fast-paced environment, Cardiovascular OR RNs must possess good skills for coping with stress and be able to relate to people of all ages and backgrounds.\n\n Requirements*: BLS, ACLS, 2 Years * Additional certifications may be required before beginning an assignment.

Cardiovascular Operating Room - CVOR RN - Travel Nurse

<h3>Job Description</h3>
We're looking for Emergency Room RNs for an immediate travel nurse opening in Castro Valley, CA. The right RN should have 1-2 years recent acute care experience. Read below for more requirements.\n \nAs an ER Travel Nurse, you will work with a diverse team of caregivers to appropriately evaluate, triage and implement care using correct procedures and physician instructions. RNs should have experience and skill caring for patients in a fast-paced, urgent and emergency environment. \n \nEmergency Room RNs will perform minor medical operations, advise patients and family on illnesses or injuries, and plan long-term care needs. Other responsibilities as an ER Travel Nurse include documenting medical history, checking for any allergies patients might have, obtaining patient vital signs, and monitoring patients' emotional and physical well-being.\n \nAs an ER Travel Nurse, you should be prepared to perform the following tasks:\n
<ul>\n
<li>Provide basic bedside care.</li>
\n
<li>Clean and bandage wounds.</li>
\n
<li>Provide IV therapy.</li>
\n
<li>Maintain supplies and medical equipment.</li>
\n
<li>Report suspected abuse to appropriate agencies.</li>
\n</ul>
\nER Travel Nurses should be able to stand and walk for long periods of time, as well as bend, lean and stoop without difficulty. RNs should be able to easily lift 20 pounds. Moving or lifting of patients may require lifting of up to 50 pounds at times. Because of the fast-paced environment, Emergency Room RNs must possess good skills for coping with stress and be able to relate to people of all ages and backgrounds.\n Requirements*: ACLS, BLS, PALS, TNCC, 3 Years * Additional certifications may be required before beginning an assignment.

Emergency Room - ER RN - Travel Nurse

<h3>Job Description</h3>
Job Description
We’re seeking Board Certified Behavior Analysts (BCBAs) who are ready to make a meaningful impact while being supported every step of the way.
Please Note: We do not provide training for BCBA certification. Applicants must already hold active BCBA certification. Our training program is designed to support certified BCBAs in excelling within our company.
What We Offer
<ul>
<li>
Competitive Pay: $55–$105/hr
</li>
<li>
Start Part-Time: Transition to full-time after 90 days
</li>
<li>
Work Options: In-person or hybrid roles
</li>
<li>
Structured 6-Month Training &amp; Onboarding: Paid training program (13 hours across 6 months) to help you grow, connect, and thrive as part of our team
</li>
<li>
Free Licensure in All States We Operate In: We’ll cover the cost of your LBA so you can work across multiple states under our company
</li>
<li>
Same Day Pay for flexibility
</li>
<li>
Full-Time Benefits (after 90 days): Health, dental, vision, life insurance, 401K with match, PTO, holiday pay
</li>
<li>
Growth Opportunities: Free CEUs, mentorship, leadership paths
</li>
<li>
No Non-Compete / No Set Caseloads
</li>
</ul>
What You’ll Do
<ul>
<li>
Conduct assessments &amp; create behavior plans
</li>
<li>
Supervise ABA programs and staff
</li>
<li>
Support and train caregivers &amp; RBTs
</li>
<li>
Collaborate with a team of experienced BCBAs
</li>
</ul>
Requirements
<ul>
<li>
Active BCBA certification (required)
</li>
<li>
Experience supervising RBTs/technicians
</li>
<li>
Strong clinical and decision-making skills
</li>
<li>
Growth mindset &amp; cultural responsiveness
</li>
</ul>
Apply today and join a supportive team that values your expertise, flexibility, and professional growth.

Board Certified Behavior Analyst - In-Person Role

<h3>Job Description</h3>
Job Description
Full job description
WHY YOU’LL LOVE THIS JOB
Join the Illinois Ophthalmology team in Melrose Park, IL, as our newest Optician and become part of a welcoming, upbeat environment where style meets exceptional care.
Why You’ll Love This Role:
As an Optician, you’ll guide clients through choosing eyewear and accessories that perfectly fit their style and needs, assist with fittings, and educate them on caring for their new products — all while working alongside a supportive, friendly team.
We Offer:
<ul>
<li>Competitive Pay: $20-$27 per hour.</li>
<li>Paid Lunch&nbsp;</li>
<li>Medical Benefits&nbsp;– We cover 75% of your premium.</li>
<li>Dental Benefits</li>
<li>401(k) – Build your financial future.</li>
</ul>
At Illinois Ophthalmology Consultants, we pride ourselves on creating a collaborative, relaxed atmosphere where team members genuinely enjoy coming to work. Here, you’ll have the opportunity to combine your love of fashion and people with meaningful, client-focused care.
If you’re ready to bring your upbeat personality to a career you’ll love, apply today to join our team in Melrose Park, IL!
RESPONSIBILITIES
<ul>
<li>Provide exceptional customer service by understanding and assisting patients’ needs.</li>
<li>Guide and assist patients in the eyewear and frame/lens selection process by using extensive knowledge of product lines and options to educate the client.</li>
<li>Maximize sales offerings and educate clients on lens options.</li>
<li>Use proper tools to take accurate measurements and fit/adjust eyewear for patient needs.</li>
<li>Promise accurate deliver &amp; turnaround times meeting the patients’ needs. Immediately notify the patient of any delays in delivery times.</li>
<li>Stock eyeglass cases, cleaners, and contact lens station, and ensure frame boards are full as applicable.</li>
<li>Answering phones; making appointments; some reception duties</li>
</ul>
SKILLS &amp; QUALIFICATIONS
<ul>
<li>High School Diploma or GED required.</li>
<li>1-3 years previous Optician experience&nbsp;preferred</li>
<li>Fashion savvy and enjoy helping people in a customer setting.</li>
<li>Strong communication skills (verbal and written), including strong interpersonal skills.</li>
<li>Excellent problem-solving skills</li>
<li>Comfortable with sales and making transactions.</li>
<li>Ability to adjust priorities and manage time wisely in a fast-paced environment.</li>
<li>Bi-lingual; Spanish or Polish</li>
</ul>

Optician

<h3>Job Description</h3>
Job Description
Ultrasound Technologist – Multiple Locations in NJ
Full-Time | Competitive Pay &amp; Benefits | Growth Opportunities
A leading imaging center in New Jersey is seeking a full-time Ultrasound Technologist. This is a great opportunity to work with a supportive team, expand your certifications, and grow your career in diagnostic imaging.
Schedule (CAN VARY)
<ul>
<li>Monday, Wednesday, Thursday, Friday: 8:30am – 5:00pm</li>
<li>Tuesday: 10:30am – 7:00pm</li>
<li>2 Saturdays/month</li>
</ul>
Requirements
<ul>
<li>RVT certification (or willingness to obtain)</li>
<li>Certification in at least one of the following: Abdomen, Breast, or OB/GYN</li>
<li>Commitment to pursuing additional certifications (educational reimbursement + exam fees covered, with bonus upon completion)</li>
<li>6 months – 1 year of experience preferred (open to newer techs eager to grow!)</li>
</ul>
What Is Offered
<ul>
<li>Competitive compensation &amp; comprehensive benefits: $40- $48/hr.</li>
<li>Educational reimbursement for additional certifications</li>
<li>Certification completion bonuses</li>
<li>A supportive team environment with growth potential</li>
</ul>

Ultrasound Technologist

<h3>Job Description</h3>
Job Description
Job Title: Insurance Verification Representative Location: Cumberland, RI US 02864 Pay: $16.00- $18.00 per hour Scheduled Pay:&nbsp;BiWeekly Hours: Monday- Friday 8:30am - 5:00pm Benefits: Health, Dental, Vision, Life Insurance, and Short term disability after 90 days
Ready to apply or have questions? Contact- Ashley Kruger Call/Text- 586-710-7947 Insurance Verification Representative Responsibilities
<ul>
<li>Data entry in internal systems</li>
<li>Open/organize mail and correspondence</li>
<li>Enter receipts and maintain accurate documentation</li>
<li>Verify and re-verify insurance coverage</li>
<li>Support prescription processing with attention to HIPAA</li>
<li>Work independently and multitask effectively</li>
<li>No patient/customer contact</li>
</ul>
Ready to apply or have questions? Contact- Ashley Kruger Call/Text- 586-710-7947
Insurance Verification Representative Requirements:
<ul>
<li>High School Diploma or GED</li>
<li>1+ year customer service or call-center–type experience</li>
<li>Healthcare/insurance experience is a plus (Medicare/Medicaid/3rd party)</li>
<li>Strong data entry accuracy &amp; attention to detail</li>
<li>Proficiency in Outlook, Word &amp; Excel</li>
</ul>
Ready to apply or have questions? Contact- Ashley Kruger Call/Text- 586-710-7947
ID: 163343
Keywords: Call center support, Non-phone role, Administrative support, Back-office operations, Data entry, Document processing, Mail processing, Receipt entry, Records management, Patient records, Prescription records, Insurance verification, Re-verification, Medicare, Medicaid, Third-party payers, Major medical benefits, Drug card knowledge, Medical terminology, Healthcare administration, Insurance carrier communication

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