OrthoCarolina
ProviderSupportServiceCoordinator
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Provider Support Service Coordinator at OrthoCarolina. Skills: process management, cross-functional coordination, vendor/stakeholder management, operational metrics, resource planning, continuous improvement. Ensures all applications for initial appointment, reappointments and privileges of medical providers are completed and processed in a timely manner.. Maintains licensure (including medical license, DEA and privilege license) for physicians, physician assistants and clinics and current docum”
What They're Looking For.
Must Have
Experience with process management, Experience with cross-functional coordination, Experience with vendor/stakeholder management, Experience with operational metrics, Experience with resource planning, Experience with continuous improvement
What You'll Do.
Ensures all applications for initial appointment
reappointments and privileges of medical providers are completed and processed in a timely manner.
Maintains licensure (including medical license
DEA and privilege license) for physicians
physician assistants and clinics and current documentation on medical providers for hospitals and participating managed care organizations.
Coordinates credentialing/re-credentialing process by maintaining communication and assistance with other OrthoCarolina employees
hospital medical staff departments
representatives from managed care organizations and malpractice underwriter by gathering appropriate credentialing and re-credentialing information such as signatures and documents.
Maintains current credentialing files of medical providers to include state licensure
certificate of insurance
board certification and CME’s.
Notifies Business Office representative of participation
terminations and changes for managed care database maintained.
Maintains a current confidential database of physicians and physician assistants state licensure and DEA’s.
Renews state license and DEA for physicians
fellows and physician assistants.
Maintains an Excel spreadsheet for tracking renewal dates.
Assists new physicians and physician assistants in scheduling hospital orientations and interviews necessary to obtain hospital privileges.
Renews North Carolina Department of Revenue Privilege License for all physician’s and fellows
Responsible for written notification to hospitals
managed care organizations and malpractice carrier of all provider
and organization changes/terminations.
How You'll Work.
Team & Collaboration
Coordination with other OrthoCarolina employees; Coordination with hospital medical staff departments; Coordination with representatives from managed care organizations; Coordination with malpractice underwriter
Communication Scope
Communication
Full Job Description
At OrthoCarolina, our team is our greatest asset and the foundation of our success. We are a diverse group of individuals, accountable to each other to uphold the standards of excellence and promote an environment of teamwork throughout the organization. OrthoCarolina has 43 unique care locations with over 1300 professionals who share a common goal to make lives better. Our employees are eligible for a full spectrum of benefits including paid company holidays, wellness programs, and tuition reimbursement. To learn more about Team OC please visit [ _https://www.orthocarolina.com/about-us_](https://www.orthocarolina.com/about-us) **OrthoCarolina is seeking a qualified professional to join our team as a ****Provider Support Service Coordinator****.** The Provider Support Services Coordinator ensures all applications for initial appointment, reappointments and privileges of medical providers (physicians, physician assistants, therapists, organization, clinics, DME, etc.) for appropriate hospitals, managed care organizations and malpractice insurance coverage are completed and processed in a timely manner. This position also maintains licensure (including medical license, DEA and privilege license) for physicians, physician assistants and clinics and current documentation on medical providers for hospitals and participating managed care organizations. **Essential Functions:** * Coordinates credentialing/re-credentialing process by maintaining communication and assistance with other OrthoCarolina employees, hospital medical staff departments, representatives from managed care organizations and malpractice underwriter by gathering appropriate credentialing and re-credentialing information such as signatures and documents. * Maintains current credentialing files of medical providers to include state licensure, DEA, certificate of insurance, board certification and CME’s. * Notifies Business Office representative of participation, terminations and changes for managed care da
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