Qureos Mentor

OneOncology

OneOncology is a network of leading oncology practices dedicated to providing community-based cancer care. The organization focuses on improving patient experiences by connecting oncologists with essential resources and leveraging data analytics to enhance practice operations. By partnering with practices, OneOncology aims to increase access to advanced cancer treatments while maintaining quality and reducing costs. Their collaborative approach ensures that practices retain their leadership while benefiting from shared technology and operational efficiencies.

<div><h1 class="jobSectionHeader">Urologist Opportunity</h1>
<h3 class="jobSectionHeader">The Center for Cancer and Blood Disorders</h3>
<h5 class="jobSectionHeader">Dallas and Fort Worth, TX</h5> 


Job Summary

Occupation: Physician

Specialty: Urology

Clinic Location: Dallas and Fort Worth, TX

Employment: Full-Time

Setting: Private Practice, Outpatient/Inpatient

Board Certifications: BE/BC

Degree: MD/DO

Ideal Candidate:
<ul>
<li>Experienced Physicians preferred; Fellows and Residents encouraged to apply</li>
<li>Experienced in coding and billing requirements for Urology</li>
<li>Fluency in spoken Spanish preferred but not required</li>
</ul>
Job Details:
<ul>
<li>Ancillary support available</li>
<li>No hospital call required</li></ul> 


About the Role

The Center for Cancer and Blood Disorders is seeking a Urologist to join a thriving practice in the Dallas&ndash;Fort Worth metroplex, offering the opportunity to build a broad, rewarding urology practice with the support of a well-established and growing organization. This role provides a diverse clinical mix spanning general urology, men's health, female incontinence, stone disease, BPH, infertility, and urologic oncology, with a blend of robotic and non-robotic procedures that keeps every day engaging. Physicians work in an office and ambulatory surgery center environment, supported by strong ancillary resources that allow them to focus on patient care while maintaining efficiency. With no hospital call requirements and the potential to participate in an advanced surgical environment, this opportunity is ideal for a physician who values autonomy, procedural variety, and the ability to build a long-term practice in one of the nation's most desirable healthcare markets. 


About Dallas and Fort Worth, TX

Dallas and Fort Worth offer the best of both worlds, combining the warmth and community feel of North Texas with the amenities of one of the nation's largest metropolitan areas. Dallas provides a dynamic urban environment with world-class dining, entertainment, professional sports, and a diverse business community, while Fort Worth is known for its welcoming atmosphere, thriving cultural scene, and strong sense of Texas heritage. Together, these neighboring cities offer excellent schools, diverse neighborhoods, a growing healthcare sector, and convenient access to major airports and transportation networks. The practice is located in one of the most desirable areas of the Dallas&ndash;Fort Worth metroplex, providing convenient access to premier residential communities, local amenities, and the region's top business and healthcare centers. With a strong economy, abundant career opportunities, and an exceptional quality of life, the Dallas&ndash;Fort Worth metroplex is an outstanding place to live, work, and build a long-term career. 


What We Offer

Top-Tier Compensation &ndash; No cap on earning potential

Comprehensive Benefits &ndash; Medical, Dental, Vision, Disability, Life

Retirement Plan &ndash; Secure your future

Work-Life Balance &ndash; Paid time off

Professional Growth &ndash; CME reimbursement, leadership opportunities

Partnership Track &ndash; Your path to ownership, 2 years with no buy-in

Research &amp; Innovation &ndash; Access to clinical trials, conferences, &amp; cutting-edge technology 


About the Practice

The Center for Cancer and Blood Disorders provides premier community cancer care, thanks to advanced medical treatments and thoughtful care. Our team's values of compassion, respect, commitment, and excellence, ensure our patients are supported, understood, and inspired. Our mission is to care for every patient as we would a cherished member of our own family. With comprehensive care and the latests advances in chemotherapy, radiation therapy, immunotherapy, hormonal therapy, biological therapy, and clinical trials and cancer research. If you share our commitment, we invite you to join our team of more than 45 physicians and 25 advanced practitioners in providing the kind of care you would want for your own loved ones.

The Center for Cancer and Blood Disorders is proud to partner with OneOncology, a nationwide platform uniting premier independent specialty practices, including United Urology Group and SunState Medical Specialists. Together, we are advancing an integrated ecosystem of Medical Oncology, Urology, and Radiation Oncology, ensuring patients receive seamless, high-quality care across all aspects of their treatment journey. OneOncology's physician-led, data-driven, and technology-enabled model fosters collaboration, clinical excellence, and innovation across our network. Through shared platforms and programs like OneR, our non-exclusive clinical trial site management subsidiary, partner practices gain access to cutting-edge research and multi-center trials, allowing patients to benefit from the latest therapies and coordinated care, all within a single, patient-focused organization. 


If you would like to apply or learn more about this opportunity, please email your CV to shanna.carpien@oneoncology.com

I look forward to speaking with you!</div>

Urologist - The Center for Cancer and Blood Disorders

<div>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&rsquo;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.
Job Description:
Role Summary:
The Sr. Accounts Receivable is responsible for the timely and accurate processing of health insurance claims with various insurance companies. This role will also work with Accounts Receivable representatives to help resolve issues while providing leadership and guidance.
Responsibilities:<ul><li>
Leads a team of Accounts Receivable representatives and proactively assists in the management their performance and development.</li><li>
Manage day-to-day problem-solving while serving as an expert on medical claim matters.</li><li>
Responsible for assisting the A/R Manager with successfully maintaining a properly functioning revenue cycle for third party A/R.</li><li>
Assists in suggesting revisions to policies and procedures to assure that everyone within the department adheres to the high standards of regulatory compliance and excellent customer service.</li><li>
Assists in hiring qualified team members serving as a catalyst and mentor for motivating productivity, innovation, high employee morale and commitment to the organization.</li><li>
Research authorizations, work with providers, and manage pended claims in a timely manner.</li><li>
Maintain a solid balance of health insurance claims that are &lt; 35 average days outstanding.</li><li>
Identify non-payment trends or procedural roadblocks and report same to Supervisor as needed.</li><li>
Prepare special claim projects; maintains project work/communication logs, uses resources effectively, arrange information and files in a useful manner and meets project deadlines.</li><li>
Compose and prepare documentation for appeals.</li><li>
Process insurance carrier correspondence in a timely and professional manner.</li><li>
Keep current on carrier&rsquo;s web sites for information that relates to the practice.</li><li>
Perform other office duties as assigned by manager.</li><li>
Additional responsibilities as assigned to help drive our mission of improving the lives of everyone living with cancer.</li></ul>
Required or Preferred Qualifications:<ul><li>
Minimum High School Diploma or GED required.</li><li>
Minimum of seven (7) years Accounts Receivable follow up experience.</li><li>
Certified Coding Certification preferred.</li><li>
Familiarity with medical billing software.</li></ul>
Essential Competencies:<ul><li>
Proficient knowledge of Medical Terminology; ICD-9 and CPT-4 Codes.</li><li>
Proficiency with Microsoft Excel and Word</li><li>
Accurate and efficient data entry skills.</li><li>
Excellent customer service skills.</li><li>
Strong written and verbal communication skills.</li><li>
Proficient computer software and database skills.</li><li>
Strong attention to detail.</li><li>
Ability to multi-task and work in a fast paced environment.</li><li>
Attendance is an essential job function.</li></ul>
#LI-REMOTE</div>

Sr. Accounts Receivable Representative

<div>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&rsquo;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.
Job Description:
Role Summary:
The Manager, Authorizations will be responsible for managing the daily prior authorization operations. This role oversees the collaboration between all RCM authorization team members, authorization vendor partners, practice staff and operational leadership to obtain authorizations for patient services in a timely and accurate fashion. The position is responsible for creating sustainable workflows and communicating effectively to protect the financial health of the practice and reduce revenue leakage.
Primary Responsibilities:<ul><li>
Complete management of the prior authorization team</li><li>
Hire new team members as necessary and manage the performance of all existing team members</li><li>
Create and maintain a staffing model that adequately meets the demand for prior authorizations within the practice</li><li>
Set expectations on service delivery for vendor partners responsible for obtaining prior authorizations for patient services</li><li>
Develop and maintain standard workflows for obtaining prior authorizations</li><li>
Manage prior authorizations denials and escalations to ensure patients can be treated in a timely fashion</li><li>
Communicate effectively with practice staff and operational leadership to reduce revenue leakage during the prior authorization process</li></ul>
Training &amp; Education<ul><li>
Design and implement a comprehensive training program for all prior authorization team members and vendor partners</li><li>
Deliver hands-on training for new workflows and system updates</li><li>
Establish onboarding programs for new hires</li></ul>
Cross-Functional Alignment<ul><li>
Ensure alignment between clinical and prior authorization workflows</li><li>
Partner with the AR team to perform a root cause analysis on all denials to reduce gaps in the process and provide retraining to team members.</li></ul>
Additional responsibilities as assigned to help drive our mission of improving the lives of everyone living with cancer.
Required Qualifications:<ul><li>
Bachelor&rsquo;s degree or equivalent experience</li><li>
5+ of experience in RCM operations</li><li>
2+ years in leading teams</li><li>
Deep understanding of the prior authorization process and payer medical necessity guidelines</li><li>
Proven experience leading global teams and vendor partners</li><li>
Strong working knowledge of healthcare compliance</li><li>
Experience designing and delivering role‑based training programs for staff, including onboarding, workflow changes, and system updates</li><li>
Ability to define, track, and interpret operational and revenue cycle metrics (e.g., charge lag, denials, documentation accuracy), conduct root‑cause analysis, and drive corrective actions</li><li>
Experience with workflow optimization, system implementation, and training delivery</li><li>
Experience working cross-functionally with clinical, operational, and RCM teams</li></ul>
Essential Competencies:<ul><li>
Attendance is an essential job function.</li><li>
Ability to lead end‑to‑end workflow design, system implementation, and stabilization efforts, identifying inefficiencies and managing change</li><li>
Ability to establish governance standards and ensure alignment between clinical and revenue cycle stakeholders</li><li>
Ability to design, deliver, and sustain role‑based training programs tailored to clinical and operational audiences</li><li>
Skilled in analyzing performance metrics, conducting audits, leading root cause analysis, and driving corrective actions</li><li>
Demonstrated continuous improvement mindset, with experience scaling best practices across sites or markets</li><li>
Proven ability to drive operational performance and revenue improvement</li><li>
Strong collaboration, verbal, and written communication skills</li></ul>
#LI-REMOTE</div>

Manager, Authorizations

<div>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&rsquo;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.
Job Description:<div><div>
Role Summary:</div><div>
The Coding Manager is responsible for policies and procedures, performance, and oversight of the coding team. This role is responsible for managing daily operations, achieving productivity metrics and ensuring goals are met. The Coding Manager will train and mentor the team as well as onsite provider training, as required. The manager will be responsible for researching new lines of business and advising management of pertinent coding regulations.</div></div><div><div> 
Responsibilities:</div><div><ul><li> 
Manages the coding and audit department developing policies and procedures and ensuring corporate compliance to coding guidelines. Discusses coding results with physicians and Executive Leadership providing input on quality improvement.</li></ul></div><div><ul><li>
Analyze data, identify issues, reach conclusions, and propose strategies for resolution of complex coding issues, along with leadership. Meet with physicians to train on new lines of business and set up charge capture workflows.</li></ul></div><div><ul><li>
Responsible for researching billing and coding guidelines for new or current service lines.</li></ul></div><div><ul><li>
Responsible for overseeing E&amp;M and CPT coding audits, physician education training and other projects related to physician coding compliance in fulfillment of the practice&rsquo;s compliance program.</li></ul></div><div><ul><li>
Complete all quarterly PEx plans and deliver feedback to the staff including quarterly coaching.</li></ul></div><div><ul><li>
Keeps informed regarding current billing and coding regulations, auditing, professional standards and company/department policies and procedures and effectively applies this knowledge and disseminates to staff and other management team members.</li></ul></div><div><ul><li>
Keeps informed of HCC coding regulations and manages the HCC workflow within the department alongside the Care Transformation team.</li></ul></div><div><ul><li>
Successfully leads and mentors the team, provides coding education and training.</li></ul></div><div><ul><li>
Identifies process improvement opportunities that enhances the performance of the department.</li></ul></div><div><ul><li>
Responsible for ensuring the team meets and maintains the company standard for coding performance and quality.</li></ul></div><div><ul><li>
Provides performance management/corrective action when productivity and quality goals are not met.</li></ul></div><div><ul><li>
Partners with the management team to ensure compliance with all federal, state and local regulations.</li></ul></div><div><ul><li>
Participate in management meetings and hold regular department meetings reviewing department performance and quality outcomes.</li></ul></div><div><ul><li>
Responsible for reviewing medial documentation for accuracy.</li></ul></div><div><ul><li>
Identify and communicate documentation deficiencies to providers to improve documentation to accurate risk adjustment coding and compliance</li></ul></div><div><ul><li>
Evaluate and optimize end to tend practice clinical documentation and coding workflows</li></ul></div><div><ul><li>
Assist in various projects given by the Director of Patient Accounting, Assistant Director of RCM or other leadership.</li></ul></div><div><ul><li>
Additional responsibilities may be assigned to help drive our mission of improving the lives of everyone living with cancer.</li></ul></div></div><div><div> 
Required Qualifications:</div><div><ul><li>
CDEO or CDIP and CPC or Other Coding Certification required</li></ul></div><div><ul><li>
Thorough knowledge of ICD- 10-CM, CPT, and HCPCS coding principles associated with Official Coding Guidelines and regulatory requirements.</li></ul></div><div><ul><li>
Minimum 3 years health care management/leadership experience required.</li></ul></div><div><ul><li>
Minimum 3 years medical coding and auditing experience.</li></ul></div><div><ul><li>
Must have effective written and verbal communication skills.</li></ul></div><div><ul><li>
Bachelor&rsquo;s Degree in Health Information Management or associated healthcare field of study preferred.</li><li>
Radiation Oncology experience required.</li><li>
Quick Code experience preferred.</li></ul></div></div><div><div> 
Essential Competencies:</div><div><ul><li>
Attendance is an essential job function.</li></ul></div><div><ul><li>
Thorough knowledge of ICD- 10-CM, CPT, and HCPCS coding principles associated with Official Coding Guidelines and regulatory requirements.</li></ul></div><div><ul><li>
Knowledge of third-party payer regulations.</li></ul></div><div><ul><li>
Excellent written and verbal communication skills.</li></ul></div><div><ul><li>
Ability to apply good judgment.</li></ul></div><div><ul><li>
Ability to meet deadlines.</li></ul></div><div><ul><li>
Knowledge of clinic office procedures, medical practice and medical terminology.</li></ul></div><div><ul><li>
Ability to interpret, adapt and apply guidelines and policies and procedures.</li></ul></div><div><ul><li>
Ability to successfully organize, delegate, and supervise.</li></ul></div><div><ul><li>
Ability to recognize, evaluate and solve problems.</li></ul></div><div><ul><li>
Ability to successfully plan, implement and manage multiple projects simultaneously.</li></ul></div><div><ul><li>
Strong organizational skills and attention to detail.</li></ul></div><div><ul><li>
Strong knowledge of Windows-based software applications. (E.g.: Word, Excel, Outlook&hellip;)</li></ul></div><div><ul><li>
Excellent Customer Service skills.</li></ul></div></div><div><div> 
The above job description is a general overview of the responsibilities and competencies for this role at OneOncology. Specific details may vary based on the needs of the organization.<h3 class="jobSectionHeader">
#LI-REMOTE</h3></div></div></div>

Manager, Coding

<div>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&rsquo;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.
Job Description:
Role Summary:
The OneOncology Service Desk serves as the primary point of contact for all technology-related issues. The Tech Analyst I onsite role is a critical technical resource, providing timely support for end-user desktop incidents and service requests reported to the Service Desk. Tech Analysts are responsible for interacting with users in a clear, supportive, and solution-focused manner, acting as a key communication link between customers and the Technology organization. Additionally, the Service Desk team represents the organization to internal and external stakeholders, continuously striving to enhance service delivery, streamline processes, and drive ongoing improvement initiatives.
This is a full-time, onsite position in Tucson, AZ.
Responsibilities:
<ul><li>Assist with the day-to-day operations of IT Service Delivery including: troubleshooting, ticket resolution, and other technology-related support activities.</li><li>
Respond to and resolve user requests for assistance with computer systems, delivering a high-quality, user-focused support experience.</li><li>
Log, track, and proactively maintain records of issues to ensure efficient problem resolution and knowledge sharing.</li><li>
Troubleshoot technical issues and escalate them when necessary.
</li><li>Identify the correct technical area or external vendor for problem resolution and coordinate with other teams to ensure timely outcomes.</li><li>
Provide clear, timely updates and feedback to users and teammates throughout the lifecycle of enterprise-wide technology issues.</li><li>
Participate in 24x7 on-call support rotations as needed.</li><li>
Travel occasionally within Arizona and, at times, to other locations as required to support business operations.</li><li>
Additional responsibilities as assigned to help drive our mission of improving the lives of everyone living with cancer.</li></ul>
Required Qualifications:<ul><li>
1 &ndash; 4 years of recent experience in technology, service desk, and helpdesk</li><li>
Healthcare related experience a plus</li><li>
ITIL certifications a plus</li><li>
Basic certification in A+ and Microsoft Products is preferred; education and/or demonstrated experience may be substituted</li></ul>
Essential Competencies:
<ul><li>Experience participating in IT Service Management (ITSM) transformations and contributing to continuous improvement initiatives.</li><li>
Strong knowledge of service management best practices and frameworks.</li><li>
Critical thinking and problem-solving skills with the ability to analyze systems and adapt as needed.</li><li>
Excellent communication and influencing skills, capable of engaging stakeholders and gaining buy-in.</li><li>
Flexible and proactive, able to identify service gaps and step in as needed to maintain smooth operations, manage high ticket volumes, and support the team during peak periods.</li><li>
Attendance is an essential job function.</li></ul>
This job description does not contain a full listing of activities, duties or responsibilities required of this role. Duties, responsibilities and activities may change, or new ones may be assigned at any time with or without notice.<h3 class="jobSectionHeader">
#LI-ONSITE</h3></div>

Tech Analyst I

<div>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&rsquo;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.
Job Description:
Under general supervision the Medical Coding Specialist, performs daily charge review of visits, diagnosis, radiation oncology or surgeries for accurate level and coding. Responsible for input charges into practice management system or EMR. The Medical Coding Specialist may also be assigned to audit physician, nurse practitioner and clinical oncology staff documentation for correct coding of CPT, ICD-10, HCPCs, and modifiers.
Responsibilities:<ul><li>
Keeps informed regarding current coding regulations, auditing, professional standards and company/department policies and procedures as it applies to the field of oncology and effectively applies this knowledge.</li><li>
 Review operative reports and other supporting documentation to assign appropriate CPT and ICD10 codes.</li><li>
Perform audit and entry of charges into EMR system and/or Practice Management System</li><li>
Works with other coders in the department to assist with difficult cases.</li><li>
Assists practice leadership to analyze data, identify issues, reach conclusions, and propose strategies for resolution of complex coding issues.</li><li>
Communicates effectively with practice leadership regarding coding and documentation issues by assisting in the preparation of reports and memoranda regarding audit results and coding compliance matters.</li><li>
Assists practice leadership in the development and review of detailed audit programs and reports to improve audit effectiveness and efficiency, as needed.</li><li>
Assists in developing and executing department educational plans related to coding matters, working in conjunction with the Charge Entry/Coding Manager.</li><li>
Assists in the development of procedure manuals related to coding and billing compliance.</li><li>
Demonstrates outstanding work ethic and works cooperatively with all team members and management with a can-do spirit and team attitude.</li><li>
Review charges/claims for accurate coding of ICD10, CPT and HCPCS codes.</li><li>
Additional responsibilities may be assigned to help drive our mission of improving the lives of everyone living with cancer</li></ul>
Required Qualifications:<ul><li>
Must have a Professional coding certification</li><li>
Minimum of 4 years coding experience preferred</li><li>
2 years&rsquo; experience performing chart audits or assignment of appropriate CPT and ICD10 codes through documentation review, in a physician practice/hospital environment required.</li><li>
CPC Certification through the AAPC preferred</li><li>
Knowledge of Medical Oncology/Radiation /Surgery coding highly preferred</li><li>
Must be willing and able to lift up to 25 pounds.</li><li>
Must be willing and able to travel to satellite clinics when necessary.</li></ul>
Essential Competencies:<ul><li>
Attendance is an essential job function</li><li>
Ability to travel to various sites throughout Middle Tennessee to conduct audits of records.</li><li>
Knowledge of government, legal and regulatory provisions related to collection activities.</li><li>
Knowledge of government programs, i.e., Medicare and Medicaid.</li><li>
Knowledge of insurance company&rsquo;s policies and procedures.</li><li>
Knowledge of CPT, ICD-9, HCPCS coding.</li><li>
Knowledge of anatomy and medical terminology.</li><li>
Ability to prioritize work and manage time efficiently.</li><li>
Creative thinking skills, hands on problem solving skills and ability to analyze and respond to data.</li><li>
Effective communication skills at all levels within organization and excellent customer service skills.</li></ul><h3 class="jobSectionHeader">
#LI-REMOTE</h3></div>

Medical Coding Specialist

<div>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&rsquo;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.
Job Description:
The Credentialing Specialist will report to OneOncology&rsquo;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<ul><li>
Credentialing and re-credentialing of physicians and allied health professionals</li><li>
Completion, submission and tracking of credentialing applications with all managed care organizations and hospitals.
</li><li>Apply and validate hospital privileges</li><li>
Obtain malpractice insurance policy</li><li>
Notification to staff of completion of credentialing for scheduling and billing</li><li>
Maintain and update CAQH online credentialing application for all providers quarterly.
</li><li>Database management/provider files</li><li>
Maintain vital provider credentialing information via technology tool and hard copies of documents in provider files stored on OneOncology platform.
</li><li>Tracking and maintaining all clinical licenses for nursing, pharmacy, and lab personnel</li><li>
Provider continuing education</li><li>
Track continuing education credits for all providers</li><li>
Notify providers of any deficiencies</li><li>
Submit documentation if providers are audited</li><li>
Termination of physician and/or allied health professional</li><li>
Contact all MCO/hospitals/EMR to remove provider who has left practice, within 30 days of termination.
</li></ul>Key Competencies<ul><li>
Proficient with MS Office Suite (word, excel) and web-based applications</li><li>
Ability to maintain verbal and written communications in a confidential manner</li><li>
Detail oriented with strong organizational skills</li><li>
Excellent interpersonal skills &ndash; team player who can prioritize multiple responsibilities, manage a large workload within tight deadlines &ndash; works well under pressure and consistently meets deadlines, readily adapts to change, and excels in a productivity-based environment</li><li>
Excellent verbal and written communication skills</li><li>
Demonstrates research and problem-solving skills</li></ul>
Qualifications<ul><li>
High school diploma and 2+ years of related experience.
</li><li>Bachelor&rsquo;s degree preferred.
</li><li>Training experience preferred but not required</li><li>
Industry experience leading credentialing activities in large provider practice (or multiple practices) is required</li><li>
Certifications preferred but not required</li><li>
Working remote with Travel flexibility as needed.</li></ul><h3 class="jobSectionHeader">
#LI-REMOTE</h3></div>

Credentialing Specialist

Join OneOncology and explore 9   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.