NIHC Group

We will be closed on Monday, May 25th for Memorial Day. Please remember and honor our fallen soldiers.

Is your RCM stuck in the waiting room?

You can't bill until you're credentialed. Don't let administrative delays cripple your cash flow.

NIHC Group provides expert Credentialing and Contracting services designed specifically for Healthcare Providers and RCM companies. We get your providers panel-ready so you get paid faster.

Let's talk about clearing your backlog.
nichrgp.com or 469-977-8323

IMPACT OF AI IN MEDICAL CREDENTIALING AND PAYOR ENROLLMENT

Artificial Intelligence (“AI”) is the hot topic across nearly every industry, often accompanied by bold claims that it will “change the way we work” or even “make humans obsolete.” Healthcare is no exception. But anyone who works in this field knows two things: 1) healthcare is incredibly broad — there is no one-size-fits-all AI solution, and 2) the industry is already complex and becoming more so every year. This raises two important questions: How will AI meaningfully impact credentialing and enrollment, and when will that impact actually arrive? - SEE FULL BOLG POST:

Impact of AI in Medical Credentialing and Payor Enrollment AI tools like ChatGPT, Copilot, and Gemini are impressive, but they are not turnkey credentialing solutions.

Everyone from the NIHC Group would like to wish you all a very Merry Christmas and a prosperous New Year. Our offices will be closed on Thursday and Friday and will return to normal business hours on Monday, the 29th.

Let NIHC Group handle the heavy lifting so you can focus on patients
• Lending our expertise to healthcare providers for over 20 years
• Experience with commercial, federal, and state payors
• Serve medical specialties from physicians to massage therapists
• Our payor knowledge spans more than 40 states
• Unparalleled breadth and depth of credentialing and contracting knowledge.

https://nihcgrp.com/

Position purpose
Process credentialing and re-credentialing and associated tasks of providers and facilities in accordance with our company policies, standard operating procedures and regulatory requirements.
Responsibilities/Duties/Functions/Tasks:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Responsible for obtaining and verifying all required and pertinent credentialing and recredentialing documentation.
Maintain and monitor all licenses and certifications in the database to ensure compliance within all markets.
Coordination of provider enrollment activities (including initial enrollments or re-credentialing) for all Centers, employed physicians, and nurse practitioners.
Ensure all facility and practitioner licenses and certifications are accurate and in good standing at all times.
Complete all forms and supporting documents required to obtain hospital privileges for physicians, as necessary.
Ensure that all processing and reporting deadlines are consistently achieved.
Provide administrative assistance
Other duties as assigned
Performance Requirements:
Strong presentation skills
Excellent communication skills, both written and verbal
Ability to work with physicians and non-physician providers in a fast-paced environment
Proficient computer skills (Microsoft applications)
Ability to multi-task and prioritize
Self-motivated with initiative; willingness to learn and adopt new strategies
Strong sense of ethics.
Please Note: All job offers are contingent on the successful completion of pre-employment criminal history check.

Position purpose

Process credentialing and re-credentialing and associated tasks of providers and facilities in accordance with our company's policies, standard operating procedures and regulatory requirements.



Responsibilities/Duties/Functions/Tasks:

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Responsible for obtaining and verifying all required and pertinent credentialing and recredentialing documentation.
Maintain and monitor all licenses and certifications in the database to ensure compliance within all markets.
Coordination of provider enrollment activities (including initial enrollments or re-credentialing) for all Centers, employed physicians, and nurse practitioners.
Ensure all facility and practitioner licenses and certifications are accurate and in good standing at all times.
Complete all forms and supporting documents required to obtain hospital privileges for physicians, as necessary.
Ensure that all processing and reporting deadlines are consistently achieved.
Provide administrative assistance
Other duties as assigned

Performance Requirements:

Strong presentation skills
Excellent communication skills, both written and verbal
Ability to work with physicians and non-physician providers in a fast-paced environment
Proficient computer skills (Microsoft applications)
Ability to multi-task and prioritize
Self-motivated with initiative; willingness to learn and adopt new strategies
Strong sense of ethics.

Please Note: All job offers are contingent on the successful completion of pre-employment criminal history check.