Credentialing Coordinator
US-TX-Plano
CCC
Req #: 342499
Type: Full Time
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Overview: Select Medical Outpatient Division 3820 American Drive Plano, Texas 75075 Credentialing Coordinator Full Time (On-Site/Hybrid) M-F 7:30am-4:00pm (w/some flexibility) $17-19/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.
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