Central Credential/Verification Coordinator - Legal - Full Time

Guthrie Health • Sayre, PA

64d

About The Position

Position Summary: Primary responsibility is performing credential verification services for Guthrie Entities.

Requirements

• High School Graduate or equivalent required or Associates Degree preferred.
• Experience in provider credentialing preferred.
• General office and administrative experience required, at least 3 years.
• Credentialing experience preferred.
• Should have excellent interpersonal, organization and verbal/written communication skills.
• Experience handling confidential/sensitive information.
• Must have ability to work under pressure, exercise independent judgement, and maintain composure and positive attitude.
• Must be detail oriented and able to prioritize and work in a fast‐ paced environment.

Nice To Haves

• Credentialing experience preferred.
• Associates Degree preferred.

Responsibilities

• Perform verifications of provider credentials adhering to requirements for timely and accurate documentation as part of the credentialing and recredentialing processes.
• Perform internet‐based queries, initiate background clearances, contact prior affiliations and malpractice carriers as appropriate.
• Maintain current checklists reflecting progress of an applicant's file and upon completion, disseminate file to appropriate decision‐making entity.
• Prepare letters, forms, and Excel spreadsheets.
• Assist with file audits and NCQA survey preparation.
• Track expirables.
• Oversee one or more accounts for credentialing. Process requests for payment as needed.
• File maintenance, software maintenance, scanning, uploading to software, etc.
• It is understood that this description is not intended to be all‐inclusive and that other duties may be assigned as necessary in the performance of this position.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Religious, Grantmaking, Civic, Professional, and Similar Organizations
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees