Credentialing Coordinator
Credentialing Coordinator
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Job Description
Overview
Select Medical Outpatient Division
3820 American Drive
Plano Texas 75075
Credentialing Coordinator
Full Time (OnSite/Hybrid)
MF 7:30am4:00pm (w/some flexibility)
$1719/hour based on experience
Diverse Health Benefit Packages PTO & EID Leave 401K company match & more
*Are you an individual who enjoys working on the business side of health care
* Do you have experience in provider credentialing or another related healthcare field
*Do you want to work for a company devoted to helping others and achieving outcomes that improve quality of life
Then this might be an opportunity for you! Watch for a glimpse into life at Select Medical!
Responsibilities
- Manage state specific credentialing activities for providers in our outpatient facilities.
- Prepare and process all credentialing documentation.
- Update and maintain current and accurate practitioner files and data base.
- Track and report practitioner changes to appropriate parties.
- Communicate with practitioners data banks state licensing and regulatory bodies educational programs health plans and other divisions within the company.
- Coordinate with health plans to provide practitioner credentialing documentation as required.
- Participate in activities associated with health plan site audits and Credentialing Committee meetings.
- Coordinate training and educational requirements for credentialing staff.
- Provide routine updates and status reports for health plans and other divisions within the company.
- Maintain confidentiality of practitioner information.
- Collaborate with team members to assist with process improvement and development of policies and procedures.
- Provide routine updates and status reports for health plans and other divisions within the company.
- Coordinated efforts with other credentialing and Managed Care personnel.
- Troubleshoot with internal business operations and Managed Care contracting to resolve accounts receivable delays due to credentialing issues.
- Participate in development and coordination of departmental CQI initiatives. Perform other duties as assigned.
Qualifications
Minimum Qualifications
- At least 2 years of experience in provider credentialing or other related healthcare field
- Proficient in Windows (Word Excel and Access).
- Ability to be professionally assertive with internal and external partners in order to be influential in finding resolutions.
- Strong oral and written communication skills with the ability to interact professionally and positively within all levels of the organization.
- Detail oriented with good organizational skills and the ability to maintain accuracy while meeting deadlines and production requirements.
- Excellent interpersonal skills and commitment to quality improvement.
- Professional with the ability to work well independently as well as collaboratively with a team.
Preferred Qualifications
- Prior credentialing experience.
- Knowledge of credentialing processes terminology and NCQA standards.
- Strong analytical skills including process improvement and problem resolution.
Level 1 $17$19/hr based on experience
Level 2 $20$21/hr based on experience
Additional Data
Select Medical is committed to having a workforce that reflects diversity at all levels and is an equal opportunity employer. Qualified applicants are considered for employment and employees are treated during employment without regard to race color religion national origin citizenship age sex sexual orientation gender identity marital status ancestry physical or mental disability veteran status or any other characteristic protected under applicable law.
Required Experience:
IC
Employment Type
Full-Time
