Credentialing Coordinator

Damar Services • Indianapolis, IN

4d • Onsite

About The Position

Damar is looking for a talented and motivated Credentialing Coordinator to join their team. The Credentialing Coordinator is a leader in the credentialing process for the organization. The Credentialing Coordinator is responsible for the collection, tracking and maintenance of payor contracts and the credentialing process for Damar’s healthcare and behavioral health teams. This role regularly collaborates with ABA, Health Services and Finance leadership to ensure an efficient process for the collection and sharing of essential credentialing information.

Requirements

• Associate’s or Bachelor’s degree required
• Minimum of 3 years of credentialing experience in a healthcare setting
• Strong knowledge of the credentialing process and payer requirements
• Knowledge of HIPAA regulations and patient privacy laws
• Proficiency in using electronic health record systems
• Proficiency with MS Office applications including: Word, Excel, Outlook and PowerPoint
• Ability to pass and maintain CPR certification
• Minimum age of 21 per licensure requirements
• Valid Indiana driver’s license and driving record that meets eligibility requirements of Damar’s insurance carrier (for all positions requiring driving)
• Be clear of any felony convictions, substantiated charges of neglect or other disqualifying criminal convictions
• Successfully complete a pre-employment physical
• Favorably meet and maintain Damar’s background screening

Nice To Haves

• Certification as a Credentialing Specialist (CPCS) is a plus

Responsibilities

• Establishes and maintains positive and efficient relationships with Medicaid, Managed Care Organizations, and Third-Party Payers
• Collects and maintains required information and documents necessary for credentialing
• Submits required documentation to insurance companies, government payers, and other third-party payers
• Tracks documentation, submission, and approval dates by payer
• Maintains database of all credentialed staff regarding status in credentialing process as well as timelines for any re-credentialing
• Monitors and tracks the status of healthcare and behavioral healthcare providers through the credentialing process
• Maintains and tracks contracts with insurance companies, government payers, and other third-party payers ensuring contracts are current and reflect all services provided through the contract
• Communicates with insurance companies, government payers, and other third-party payers, as needed, through the credentialing process of staff
• Maintains notifications of staff as they are credentialed by insurance companies, government payers, and other third-party payers
• Notifies appropriate internal parties when staff are credentialed by insurance companies, government payers, and other third-party payers
• Collaborates with other departments, such as Accounting, ABA, and Health Services, to ensure all necessary credentialing documents are current
• Regularly reviews denials with the revenue cycle team, ensuring any credentialing issues are resolved in a timely manner for resubmission and collection
• Prioritizes duties in a manner consistent with organizational objectives and growth
• Shows initiative by identifying solutions to resolve credentialing issues
• Acts as a good steward of Damar and/or client finances
• Seeks the best use of materials, equipment, and staff to maximize efficiency and effectiveness
• Takes pride and ownership in Damar’s facilities and assigned work areas
• Will adhere to all policies and procedures as defined in the Employee Handbook and Damar Operational Policies and Procedures Manual
• Completes and updates mandatory training and other licensure related items in a timely manner
• Maintains documentation that is accurate and legible
• Performs other duties as assigned

Benefits

• Eligible for the Damar Advantage including discounts at Damar Health Services and Damar Pharmacy
• Comprehensive training in verbal intervention and physical management techniques
• Medical, Dental, and Vision Insurance options
• Up to $3,000 per year in Tuition Assistance
• Save for your retirement with our 401(k) Plan Participation
• Take care of loved ones through our Damar provided Life Insurance and additional voluntary options
• Short-Term and Long-Term Disability Insurance options
• Paid Holidays to spend time with loved ones
• Paid Time Off (PTO) for rest and renewal

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree