Credentialing and Licensing Specialist III

Mosaic Health, LLC.; Fort Myers (FL); Hybrid; USD 45,000 - 65,000; Full time

Job summary

Mosaic Health, LLC. is seeking a Credentialing Licensing Specialist III for hybrid work in Fort Myers, FL. You will enroll and update providers with contracted insurers, and assist in securing staff privileges at hospitals and nursing homes.

You will maintain accurate provider files in MPG’s database, coordinate license verifications, and support HR with credentialing documentation, using Verity, Intellisoft, Athena, and standard office software.

Qualifications

• Experience with credentialing workflows and provider enrollment.
• Familiarity with license verification and reappointment processes.
• Strong communication and record-keeping skills.

Responsibilities

• Enroll and update providers with contracted insurance carriers.
• Assist with staff privileges at hospitals and nursing homes.
• Maintain provider records in MPG’s database with carriers and facilities.
• Use Word/Excel and credentialing software; use Athena as needed.

Skills

Word

Excel

Interpersonal skills

Licensure renewals

Tools

Verity

Intellisoft

Athena

Job description

## Credentialing and Licensing Specialist IIIApplyremote type: Hybrid - Full Timelocations: Fort Myers, FLtime type: Full timeposted on: Posted Todayjob requisition id: M104022**Job Description Summary**The Credentialing Licensing Specialist is responsible for enrolling and/or updating all providers with contracted insurance carriers. S/he also assists in staff privileges at area hospitals and nursing homes. S/he maintains current accurate information for the physicians and mid-level providers in MPG’s database, with insurance carriers, and facilities. These goals are met in a timely manner consistently and effectively. s/he will assist the Business Services teams as necessary. Additional duties as assigned.**How will you make an impact & Requirements**Responsible for new and existing applications and reappointment paperwork is complete, accurate and timely including tasks required for exiting providers.Collects and processes verification and accreditation information for all physicians and mid-level providers associated with insurance carriers.Supports physician and mid-level providers as needed for licensure renewals.Maintain professional and open communication with physicians, mid-level providers and individuals within MPG to ensure up to date and consistent record keeping. Ensures all provider files are current with Human Resources.Demonstrates proficiency in Microsoft Word, Excel, and software unique to credentialing (i.e. , Verity, Intellisoft or hospital on-line application processes).Use Athena as needed to fulfill job responsibilities and/or other associated assignments.Keeps supervisor fully informed regarding job responsibilities and challenges to success.Demonstrate excellent interpersonal and communication skills.### About UsFounded in Port Charlotte on the Southwest Florida coast in 2008, Millennium is quickly becoming one of the most successful and fastest-growing physician groups in the country. We are physician-led, meaning we value our physicians’ insights to guide our continued success, and we trust them to provide the best care for their patients. Our team works together to ensure the best interests of our healthcare providers remain at the center of all we do. In recognizing that physicians are the foundation of our organization, we’ve achieved industry-leading physician engagement and nation-leading results.### Who we areMosaic Health is a national care delivery platform focused on expanding access to comprehensive primary care for consumers with coverage across Commercial, Individual Exchange, Medicare, and Medicaid health plans. The Business Units which comprise Mosaic Health are multi-payer and serve nearly one million consumers across 19 states, providing them with access to high quality primary care, integrated care teams, personalized navigation, expanded digital access, and specialized services for higher-need populations. Through Mosaic Health, health plans and employers have an even stronger care provider partner that delivers affordability and superior experiences for their members and employees, including value-based primary care capacity integrated with digital patient engagement and navigation. Each of the companies within Mosaic Health provide unique offerings that together promise to improve individuals' health and wellbeing, while helping care providers deliver higher quality care. For more information, please visit www.mosaichealth.com.Mosaic Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.If you require an accommodation for the application or interview process, please let us know and we will work with you to meet your needs. Please contact [e-mail] for assistance.