United States · Remote OK
OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and …
Skills: Credentialing, Privileging, CAQH, Database Management, MS Office Suite
Poughkeepsie, New York, United States · On-site
Why Join Our Team? At New York Cancer & Blood Specialists (NYCBS), we are dedicated to making a difference in the lives of our patients, their families, and our communities. Our passionate team of expert oncologists, hem…
Skills: Venipuncture, Specimen Collection, EKG, Point-of-care Testing, Instrument Sterilization
New York, New York, United States · On-site
Why Join Our Team? At New York Cancer & Blood Specialists (NYCBS), we are dedicated to making a difference in the lives of our patients, their families, and our communities. Our passionate team of expert oncologists, hem…
Skills: Phlebotomy, EKG, Patient Education, Medication Administration, Electronic Medical Records
Mount Juliet, Tennessee, United States · On-site
Tennessee Oncology, one of the nation’s largest, community-based cancer care specialists, is home to one of the leading clinical trial networks in the country. Established 1976 in Nashville, Tennessee Oncology’s mission …
Skills: Patient Care, Chemotherapy Administration, Telephone Triage, IV Insertion, Central Venous Access Management
Columbia, Tennessee, United States · On-site
Tennessee Oncology, one of the nation’s largest, community-based cancer care specialists, is home to one of the leading clinical trial networks in the country. Established 1976 in Nashville, Tennessee Oncology’s mission …
Skills: Chemotherapy Admixture, Aseptic Technique, Inventory Management, Pharmaceutical Calculations, Hazardous Drug Handling
Cleveland, Tennessee, United States · On-site
Tennessee Oncology, one of the nation’s largest, community-based cancer care specialists, is home to one of the leading clinical trial networks in the country. Established 1976 in Nashville, Tennessee Oncology’s mission …
Skills: Clinic Operations Management, Staff Supervision, Patient Care Coordination, Budgeting and Purchasing, Regulatory Compliance
Overland Park, Kansas, United States · On-site
OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and …
Skills: Healthcare Management, Practice Administration, Financial Management, Business Development, Recruitment
Port Jefferson Station, New York, United States · On-site
Why Join Our Team? At New York Cancer & Blood Specialists (NYCBS), we are dedicated to making a difference in the lives of our patients, their families, and our communities. Our passionate team of expert oncologists, hem…
Skills: Laboratory Support, Patient Care Support, Clinical Operations
Big Rapids, Michigan, United States · On-site
Our Mission: At The Cancer & Hematology Centers we are dedicated to help, healing and hope for cancer patients and their families. We provide our patients with advanced treatments, innovative research and, above all else…
Skills: Patient Scheduling, Insurance Verification, Medical Records Management, Electronic Medical Records (EMR), Patient Intake
Glendale, California, United States · On-site
$145k–$165k/yr
The mission of The Los Angeles Cancer Network is to provide unparalleled care to each patient that comes through our doors. We offer individualized treatment using the most recent and relevant proven advances in cancer c…
Skills: Nursing Management, Oncology Care, Staff Oversight, Regulatory Compliance, Policy Development
Fountain Valley, California, United States · On-site
The mission of The Los Angeles Cancer Network is to provide unparalleled care to each patient that comes through our doors. We offer individualized treatment using the most recent and relevant proven advances in cancer c…
Skills: Nursing Management, Cancer Care, Patient Support, Clinical Research, Patient Education
Nashville, Tennessee, United States · On-site
Tennessee Oncology, one of the nation’s largest, community-based cancer care specialists, is home to one of the leading clinical trial networks in the country. Established 1976 in Nashville, Tennessee Oncology’s mission …
Skills: Phlebotomy, Venipuncture, Capillary Collection, Laboratory Information Systems (LIS), Quality Assurance
Columbia, Tennessee, United States · On-site
Tennessee Oncology, one of the nation’s largest, community-based cancer care specialists, is home to one of the leading clinical trial networks in the country. Established 1976 in Nashville, Tennessee Oncology’s mission …
Skills: Specimen Collection, Laboratory Testing, Quality Control, Quality Assurance, Phlebotomy
Dalton, Georgia, United States · On-site
Tennessee Oncology, one of the nation’s largest, community-based cancer care specialists, is home to one of the leading clinical trial networks in the country. Established 1976 in Nashville, Tennessee Oncology’s mission …
Skills: Patient Scheduling, Electronic Health Records, Medical Terminology, Customer Service, MS Office
Murfreesboro, Tennessee, United States · On-site
Tennessee Oncology, one of the nation’s largest, community-based cancer care specialists, is home to one of the leading clinical trial networks in the country. Established 1976 in Nashville, Tennessee Oncology’s mission …
Skills: Patient Scheduling, Electronic Health Records, Medical Terminology, Customer Service, MS Office
Los Angeles, California, United States · On-site
$23/hr–$25/hr
The mission of The Los Angeles Cancer Network is to provide unparalleled care to each patient that comes through our doors. We offer individualized treatment using the most recent and relevant proven advances in cancer c…
Skills: Phlebotomy, Patient Screening, Vital Signs Monitoring, Medication Reconciliation, Lab Processing
Los Angeles, California, United States · On-site
$23/hr–$25/hr
The mission of The Los Angeles Cancer Network is to provide unparalleled care to each patient that comes through our doors. We offer individualized treatment using the most recent and relevant proven advances in cancer c…
Skills: Phlebotomy, Patient Screening, Vital Signs Monitoring, Medication Reconciliation, Lab Processing
Athens, Georgia, United States · On-site
ARE YOU LOOKING FOR A REWARDING CAREER WITH A GROWING AND DYNAMIC TEAM? CONSIDER UCBC. At University Cancer & Blood Center, we pride ourselves on listening. On providing hope, guidance, and comfort. On getting up each da…
Skills: Clinical Trial Management, Patient Assessment, Drug Dispensation, Lab Collection, EMR Documentation
Norton Shores, Michigan, United States · On-site
Our Mission: At The Cancer & Hematology Centers we are dedicated to help, healing and hope for cancer patients and their families. We provide our patients with advanced treatments, innovative research and, above all else…
Skills: Patient Scheduling, Administrative Support, Electronic Medical Records, Patient Communication, Referral Management
Gonzales, Louisiana, United States · On-site
Mary Bird Perkins Cancer Center is Louisiana’s leading cancer care organization, caring for more patients each year than any other facility in the region. And with strategic hospital and physician partnerships, we are de…
Skills: Patient Registration, Phone Management, Insurance Verification, Scheduling, Copay Collection
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The Credentialing Specialist manages all aspects of the privileging and credentialing process for physicians and allied health professionals. This includes processing applications, verifying information, and maintaining confidential provider files and licenses.
Requires a high school diploma and at least 2 years of related experience, with a bachelor's degree preferred. Industry experience leading credentialing activities in large provider practices is required.
OneOncology is positioning community oncologists to drive the future of medical care through a patient-centric, physician-driven, and technology-powered model to help improve the lives of everyone living with cancer and other diseases. Our team is bringing together leaders to the market place to help drive OneOncology’s mission and vision.
Why join us? This is an exciting time to join OneOncology. Our values-driven culture reflects our startup enthusiasm supported by industry leaders in oncology, urology, technology, and finance. We are looking for talented and highly-motivated individuals who demonstrate a natural desire to improve and build new processes that support the meaningful work of independent physicians and the patients they serve.
The Credentialing Specialist will report to OneOncology’s Credentialing Manager. The credentialing specialist is responsible for all aspects of the privileging and credentialing process for physicians and allied health professionals. The Specialist will process applications, verify information, research application details, and assure processes are in accordance with medial staff procedures. The specialists will provide consistent, accurate, and timely credentialing support, enhancing the organizations ability to provide professional services. Work includes the accurate, timely and documented verification of the information provided by the application and maintenance of the highly confidential credentialing related files.
Responsibilities
Credentialing and re-credentialing of physicians and allied health professionals
Completion, submission and tracking of credentialing applications with all managed care organizations and hospitals.
Apply and validate hospital privileges
Obtain malpractice insurance policy
Notification to staff of completion of credentialing for scheduling and billing
Maintain and update CAQH online credentialing application for all providers quarterly.
Database management/provider files
Maintain vital provider credentialing information via technology tool and hard copies of documents in provider files stored on OneOncology platform.
Tracking and maintaining all clinical licenses for nursing, pharmacy, and lab personnel
Provider continuing education
Track continuing education credits for all providers
Notify providers of any deficiencies
Submit documentation if providers are audited
Termination of physician and/or allied health professional
Contact all MCO/hospitals/EMR to remove provider who has left practice, within 30 days of termination.
Key Competencies
Proficient with MS Office Suite (word, excel) and web-based applications
Ability to maintain verbal and written communications in a confidential manner
Detail oriented with strong organizational skills
Excellent interpersonal skills – team player who can prioritize multiple responsibilities, manage a large workload within tight deadlines – works well under pressure and consistently meets deadlines, readily adapts to change, and excels in a productivity-based environment
Excellent verbal and written communication skills
Demonstrates research and problem-solving skills
Qualifications
High school diploma and 2+ years of related experience.
Bachelor’s degree preferred.
Training experience preferred but not required
Industry experience leading credentialing activities in large provider practice (or multiple practices) is required
Certifications preferred but not required
Working remote with Travel flexibility as needed.
Caring for Cancer Patients is a Privilege!
Tennessee Oncology is one of the nation’s largest community-based cancer care specialists and home to one of the leading clinical trial networks in the country. Established 1976 in Nashville, Tennessee Oncology’s mission remains unchanged: To provide access to high quality cancer care and the expertise of clinical research for all patients at convenient locations within their community and close to their home. To this day, our growing network of physicians and number of locations is based on this mission. In 2018, Tennessee Oncology joined OneOncology, a partnership of oncologists and industry leading experts driving the future of community-based cancer care in the United States, as a founding practice partner. Physicians specializing in gynecologic oncology, palliative care, radiation oncology, and health psychology comprise our group. Tennessee Oncology provides a full range of diagnostic services, including oncology specific expertise in PET/CT and laboratory services. Clinic locations provide on-site chemotherapy treatments so that patients receive care in their community and close to their home. Our physicians utilize the latest in molecular diagnostics and profiling to choose treatments specific to the genetics of your cancer. Oncology research is the largest area of new drug development. Self -administered medications, those taken by mouth or injected by the patient, comprise approximately 40% of these investigative medications. Tennessee Oncology’s in house pharmacy, Park Pharmacy, stocks oncology and hematology medications not readily available at community retail pharmacies. A URAC accredited Specialty Pharmacy, Park provides insurance and benefits investigation, prior authorization services for insurance coverage, co-pay assistance through manufacturer or foundation programs, extensive medication education, and access to a pharmacist 24 hours a day, 7 days a week.
Offices: 2004 Hayes St, Nashville, Tennessee 37203, US
Caring for Cancer Patients is a Privilege!
Tennessee Oncology is one of the nation’s largest community-based cancer care specialists and home to one of the leading clinical trial networks in the country. Established 1976 in Nashville, Tennessee Oncology’s mission remains unchanged: To provide access to high quality cancer care and the expertise of clinical research for all patients at convenient locations within their community and close to their home. To this day, our growing network of physicians and number of locations is based on this mission. In 2018, Tennessee Oncology joined OneOncology, a partnership of oncologists and industry leading experts driving the future of community-based cancer care in the United States, as a founding practice partner. Physicians specializing in gynecologic oncology, palliative care, radiation oncology, and health psychology comprise our group. Tennessee Oncology provides a full range of diagnostic services, including oncology specific expertise in PET/CT and laboratory services. Clinic locations provide on-site chemotherapy treatments so that patients receive care in their community and close to their home. Our physicians utilize the latest in molecular diagnostics and profiling to choose treatments specific to the genetics of your cancer. Oncology research is the largest area of new drug development. Self -administered medications, those taken by mouth or injected by the patient, comprise approximately 40% of these investigative medications. Tennessee Oncology’s in house pharmacy, Park Pharmacy, stocks oncology and hematology medications not readily available at community retail pharmacies. A URAC accredited Specialty Pharmacy, Park provides insurance and benefits investigation, prior authorization services for insurance coverage, co-pay assistance through manufacturer or foundation programs, extensive medication education, and access to a pharmacist 24 hours a day, 7 days a week.
Offices: 2004 Hayes St, Nashville, Tennessee 37203, US
