Credentialing Coordinator - Full Time

Trinity Health•Central City, IA

2d•Onsite

About The Position

Performs the necessary activities to ensure practitioners and facilities are credentialed/recredentialed with participating insurance plans in compliance with regulatory standards and in accordance with policies and procedures. Builds and maintains positive relationships with payers, practitioners, and internal teams. Serves as a resource regarding insurance credentialing issues, concerns, and inquiries.

Requirements

Must possess a knowledge of payer credentialing and enrollment through a combination of education and experience.
At least 4 years of health care operations, payer enrollment, or medical staff services experience.
Must possess high attention to detail with the ability to prioritize competing tasks and work independently with little oversight.
Must have strong interpersonal skills with a focus on customer service.
Must be comfortable with Excel functions and possess strong computer literacy skills.
Must be comfortable operating in a collaborative, shared leadership environment.
Must possess a personal presence that is characterized by a sense of honesty, integrity, and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals, and values of Trinity Health.

Nice To Haves

Bachelor’s degree preferred
Previous experience with credentialing and enrollment software (or database management) is preferred.
Ability to become certified if required.

Responsibilities

Knows, understands, incorporates, and demonstrates the Trinity Health Mission, Vision, and Values in behaviors, practices, and decisions.
Understand the various payer rules, regulations, and enrollment processes.
Assists providers with access and maintenance of NPI and CAQH accounts as needed.
Coordinate and complete provider and facility enrollments as assigned.
Ensure all enrollment activities are completed fully and accurately based on each payer enrollment requirements.
Demonstrate the ability to create and maintain various internal and external enrollment spreadsheets.