Credentialing Coordinator

Select Physical Therapy • Plano, TX

118d • $17 - $19

About The Position

Select Medical is seeking a Credentialing Coordinator for its Outpatient Division located in Plano, Texas. This full-time position offers a hybrid work environment with a schedule from Monday to Friday, 7:30 AM to 4:00 PM, with some flexibility. The role is focused on the business side of healthcare, specifically in provider credentialing, and is ideal for individuals who are passionate about improving quality of life through their work.

Requirements

• 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.

Nice To Haves

• Prior credentialing experience.
• Knowledge of credentialing processes, terminology and NCQA standards.
• Strong analytical skills, including process improvement and problem resolution.

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 database.
• 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.
• 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.

Benefits

• Diverse Health Benefit Packages
• Paid Time Off (PTO)
• Extended Illness Days (EID)
• 401K company match
• Health, Dental, and Vision insurance
• Life insurance
• Prescription coverage
• Short and Long Term Disability
• Personal and Family Medical Leave

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level