Coord-Credentialing PB Rehab

Genesis Administrative Services • UNAVAILABLE, PA

12d

About The Position

The Credentialing Coordinator coordinates credentialing and re-credentialing of therapists with health plans according to plan specifications, working with territory operations staff. The role researches payer credentialing requirements; submits completed applications and re-applications; manages initial mailing, review, and database tracking; and helps maintain high quality standards. The coordinator provides feedback to reduce errors and support the development of credentialing policies and procedures.

Requirements

• Two or more years of provider credentialing experience in a managed care, hospital, or long-term care environment.
• Proficiency with Microsoft Office applications.
• Willingness to learn advanced computer software.

Nice To Haves

• Bachelor’s degree or equivalent work experience preferred.
• Experience with CAQH/NCQA guidelines preferred.

Responsibilities

• Facilitate acquisition of applications from payers, evaluate application requirements, and forward applications and instructions to territory operations for completion by therapists.
• Review completed applications for compliance with NCQA, regulatory, and licensing requirements; assist therapists with completion and provide guidance as needed.
• Maintain a database of health plan credentialing requirements, including ongoing maintenance and renewal requirements.
• Maintain the provider database in accordance with NCQA standards.
• Handle payer correspondence, including updates and mailing applications and completed executed agreements.
• Prepare accurate and timely reports for internal staff.
• Interface with senior management, vendors, information systems, and operations.
• Perform other duties as assigned.

Benefits

• Medical, dental, and vision plans for full-time team members.
• Generous paid time off for full-time and part-time team members.
• Clinical mentorship program for new graduates.
• Free continuing education units through Medbridge.
• Visa or Green Card sponsorship and relocation assistance; the Journey Travel Program offers work across the U.S. with the security of a full-time role.
• Discounts on wireless/TV, home/auto/renters and pet insurance, childcare, eldercare, and more.
• Rewards through the PowerZone Employee Recognition Program.
• Professional development through the Clinicians in Action program.

What This Job Offers

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