Job Description

Job Description

Job Description

About IHI

At Innovative Hematology (IHI), we offer a future where people with rare blood disorders flourish. Our experts provide the highest quality comprehensive services and holistic care to patients with bleeding, clotting and other hematologic disorders, and to their families.

What You Will Do

The Credentialing Specialist is responsible for credentialing, re-credentialing and privileging of all applicable medical staff. Also responsible for enrolling providers in all applicable public and private payer organizations.

The Opportunity

• Perform all aspects of the credentialing, re-credentialing and privileging process of applicable medical staff.
• Maintain CAQH, PECOS, and NPI registry for all IHTC providers as applicable.
• Create NPDB and AMA reports for each new provider upon hire and annually.
• Maintain copies of current state licenses, CSR and DEA certificates, malpractice coverage and any other required credentialing documents.
• Track license and certification expirations for all providers to ensure timely renewals.
• Coordinate with Payer Relations Manager to ensure all applicable providers are correctly attached to all existing and new contracts.
• Ensure provider demographics are kept updated with all payers.
• Audit health plan directories for current and accurate provider information.
• Maintain knowledge of current health plan and facility requirements for credentialing providers.
• Produce CME reports for all MD’s six times per year and upon request.
• Maintain CME credits for each credentialed provider.
• Communicate with Providers via phone, email, face-to-face as needed to obtain information or provide education/follow-up related to credentialing process.
• Maintain confidentiality of provider information.

Requirements

• Minimum 2 years of credentialing experience .
• GED or High School diploma required. College degree preferred.
• Valid driver's license and automobile insurance is required.
• All IHI employees are expected to enable multi-factor authentication via their personal smart phone/smart device in order to access IHI systems as a requirement of the role.
• All IHI employees are expected to enable multi-factor authentication via their personal smart phone/smart device in order to access IHI systems as a requirement of the role. 

This position is open to residents of the State of Indiana, and requires routine presence at our Center in Indianapolis, IN. Frequency of on-site presence is dependent upon role and department needs.

Benefits

Why join our team?

IHI is a not-for-profit program based in Indianapolis and offers a competitive salary and benefit package.

IHI is the only federally designated comprehensive hemophilia program in Indiana and serves the entire state through services available in Indianapolis and at outreach clinics.

IHI is a leader in hemophilia care, education and clinical research and has a dedicated on-site multidisciplinary staff to ensure availability of a wide range of required services.

IHI participates in national and international clinical research, including new infusion products and therapies, investigation of long-term outcomes, and the impact of associated conditions. The IHI research program provides patients access to new therapies, and an opportunity to improve care. Our center has more than 70 clinical research projects involving bleeding disorders, sickle cell disease, thrombosis and more.

Innovative Hematology Inc. is an Equal Opportunity Employer.

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