Credentialing Assistant- CBO - Wilmington

Wilmington Health PLLC•Wilmington, NC

14h•Onsite

About The Position

The Credentialing Assistant is responsible for supporting the Credentialing Specialist in all aspects of the credentialing, recredentialing and privileging process at Wilmington Health. Wilmington Health is structured as a multi-specialty medical practice with primary care providers integrated into the system. In this way, Wilmington Health is able to provide a comprehensive and coordinated approach to the care of all our patients. Wilmington Health is committed to using collaborative, evidence-based medicine in providing the highest quality of care to the patients we serve.

Requirements

A high school diploma or equivalent
A minimum of 2 years’ experience in healthcare credentialing and/or payer enrollment
Previous experience with credentialing software or other type of database
Ability to use independent judgment to manage and impart confidential information; works independently, is self-directed and effective in a team, high-paced environment
Ability to organize, prioritize, coordinate and follow thru on multiple activities and tasks in a timely manner
Excellent customer service and organizational skills; excellent file management skills
The ability to handle high volumes of files under tight deadlines and set priorities
Strong teamwork orientation regarding resolution of issues
Demonstrated proficiency of Excel, Word, and Outlook
Excellent file management skills
Excellent verbal and written communication skills are essential. Able to communicate and present information to a wide variety of parties effectively
A high level of accountability
Full COVID 19 vaccination is required as a condition of employment for all position with Wilmington Health. Documentation is required prior to orientation.

Nice To Haves

Extensive and frequent verbal and written communications with Clinicians, Medical Staff Offices, state licensing boards, professional references and internal company staff, requiring professionalism and tact, to obtain or provide all needed information quickly in order to expedite the credentialing of providers.

Responsibilities

Responsible for routine, standard communications and data-gathering activities associated with the credentialing and payer enrollment process, based on Team Protocols
Responsible for maintaining up-to-date files on Wilmington Health Providers
Responsible for organizing and maintaining documents and other items, digital or hardcopy, in the Provider’s file
Responsible for maintaining credentialing software, i.e., building forms, queries, and reports, keeping abreast of version updates, etc.
Responsible for publishing credentialing status reports and other communications to Wilmington Health Leadership in a timely and accurate manner
Responsible for other administrative functions within the Credentialing Team
Maintains confidentiality of provider and clinical personnel information.
Provides excellent customer service in accordance with Wilmington Health’s customer service standards to all internal and external parties.
Achieves compliance with Credentialing Department metrics and performance standards by adhering to the Credentialing process and documenting accurately in company database(s). Accurately maintains systems database(s) to track, follow-up and disseminate status of credentialing, hospital privilege and payer enrollment to other departments in a timely manner.
Attend and participate in required meetings; participating in developing and implementing company-wide goals; participates in problem-solving and decision making; positively supports and adheres to management decisions, being flexible and adaptable to change, establishing trust and respect for other team members and completing training as required.
Communicates issues to management in a timely and accurate manner
Responsible for other duties as assigned