Scheduled Hours
40Position Summary
Position supports and facilitates all aspects of the system credentials verification process for medical staff and managed care provider appointments and re-appointments. Includes credentials verification of allied health providers as required.Job Description
Primary Duties & Responsibilities
- Responsible for the enrollment of new providers with Medicare and multiple state Medicaids. Complete and process provider enrollment applications for all new department physicians and midlevels.
- Reviews, monitors and follows up on all items pending for insurance credentialing to ensure providers are payable at start date.
- Completes applications to regularly re-enroll/revalidate providers with state insurance plans as required by each state agency.
- Annually updates provider licensure information with state agencies to ensure providers remain enrolled.
- Performs follow up activities and projects for outstanding AR, including contacting payers and submitting documentation to facilitate enrollment.
- Provides updates to MSOW via the MSOW provider portal (internal system). Ensures providers are up to date on all practice locations, bill areas, office locations, etc.
- Ensures maintenance of current and accurate data/information in system credentials database.
- Maintains accurate files for credentialing of each provider.
Preferred Qualifications
- Past medical staff office or credentialing verification experience.
- Insurance credentialing experience with Medicare.
- Must have knowledge of medical staff line credentialing database.
Required Qualifications
High school diploma or equivalent high school certification with three to five years’ experience is required.
Grade
C08-HSalary Range
$20.17 - $30.24 / Hourly The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget.Questions
For frequently asked questions about the application process, please refer to our External Applicant FAQ.
Accommodation
If you are unable to use our online application system and would like an accommodation, please email CandidateQuestions@wustl.edu or call the dedicated accommodation inquiry number at 314-935-1149 and leave a voicemail with the nature of your request.
Pre-Employment Screening
All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening.Benefits Statement
Personal
Up to 22 days of vacation, 10 recognized holidays, and sick time.
Competitive health insurance packages with priority appointments and lower copays/coinsurance.
Want to Live Near Your Work and/or improve your commute? Take advantage of our free Metro transit U-Pass for eligible employees. We also offer a forgivable home loan of up to $12,500 for closing costs and a down payment for homes in eligible neighborhoods.
WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%.
Wellness
Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more!
Family
We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We’ve got you covered.
WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us.
For policies, detailed benefits, and eligibility, please visit: https://hr.wustl.edu/benefits/