Credentialing Coordinator

Essential Duties and Responsibilities (This is not an exhaustive list of all duties/responsibilities. Other duties may be assigned)

• Assist with the processing and maintaining initial credentialing and re-credentialing files for physicians, mid-level practitioners, and other licensed clinicians.
• Track practitioner applications, verifications, and related credentialing information to ensure files are accurate and complete.
• Monitor and maintain timeliness of all credentialing activities.
• Communicate with practitioners, their office staff, medical staff offices, network management, and provider contracting departments about credentialing status and activities.
• Update expired credentials as required by policies and state and federal regulations.
• Update and maintain an accurate credentialing database.
• Assist in site review audits with various insurance companies and state agencies.
• Prepare files for monthly credentialing activities.
• Prioritize work activities and track progress on all files.
• Assist in development of letters and credentialing related reports or rosters.
• Prepare and participate in any audits regarding credentialing.
• Keep provider files and credentialing documents organized so they meet or exceed all applicable requirements.

BENENFITS OFFERED:

• Medical Benefits
• Preferred Provider Option
• Health Savings Account
• Dental Benefits
• Vision Benefits
• Flexible Spending Account
• Pet Insurance
• Group Life Insurance, AD&D - Company Paid
• Supplemental Life Insurance, AD&D
• Short Term Disability - Company Paid
• Long Term Disability
• 401K Retirement Plan (Traditional and ROTH) with Company Funded company match up to 6%
• Retirement and Financial Planning Services
• Shift differential incentives
• Loan Forgiveness options through federal programs (National Health Service Corps & Public Service Loan Forgiveness)
• We provide professional development to enhance various skills, certifications, and continuing education
• Opportunities for growth and movement - We encourage our employees to consider new growth opportunities with us and have opportunities
• Paid Time Off (amount depends on years of service)
• Sick Leave for part-time staff
• (11) Paid Holidays
• Tuition reimbursement program
• Commuter Mileage Incentive
• Cell phone reimbursement
• Clinical Supervision
• Wellness Program reimbursement
• Employee Assistance Program - assists employees with personal problems and/or work-related problems that may impact their job performance, health, mental and emotional well-being

Qualifications

Qualifications

Required:

• High School Diploma, GED, or higher
• Managed Care or Medical Insurance experience
• Successful completion of background check

Preferred:

• Medicare experience
• Basic Credentialing knowledge
• Experience in Credentialing Providers, working in Provider Relations, Medical Billing, or Quality Management
• Research & Analysis experience