Credentialing Coordinator - Part Time

Arbor Circle Corporation•Grand Rapids, MI

1d•Hybrid

About The Position

This position offers a hybrid work option Must be based in West Michigan Position Details Responsibilities include: Process enrollment applications for commercial health plan payers and manage the ongoing participation requirements of the plans for all practitioners enrolled. Populate, maintain, and update the credentialing communication tools. All aspects of external credentialing/re-credentialing providers and clinicians, including: obtaining provider information and entering into databases such as CAQH and CHAMPS, completing applications, and following up with insurance carriers. Maintain ongoing communication with insurance carriers to ensure external credentialing profiles and rosters are current and accurate. We support our employees with a robust benefits package, quality supervision, flexible scheduling, a vibrant work culture, ongoing training opportunities, and avenues for career growth. Ideal candidates will bring a willingness to explore bias, equity issues, successes, and challenges with empathy and curiosity, crucial for thriving and advancing within our organization. We understand that candidates may have unique experiences and skills that aren't always reflected in a job description. If you feel you could contribute to our team, please apply. Learn More About Arbor Circle 401 (k) with match Focus on Well Being: Employee Assistance Program Paid sick time Supportive and fulfilling culture Equity and inclusion-focused affinity and work groups Market-driven and equitable salary practices Learn more at a rborcircle.org/careers . If you require alternative methods of application or screening, you must approach this employer directly to request this as the platforms you may see this posting are not responsible for the employer's application process.

Requirements

1 year of experience in credentialing strongly preferred.
Proven experience building and maintaining positive working relationships with insurance and carriers.
Proven ability to prioritize multiple tasks, projects, and deadlines.
Strong working knowledge of Microsoft Office
Proficient in Excel
Able to independently solve problems and research new projects
Excellent communication skills, both written and verbal.
Proven Organizational skills

Responsibilities

Process enrollment applications for commercial health plan payers and manage the ongoing participation requirements of the plans for all practitioners enrolled.
Populate, maintain, and update the credentialing communication tools.
All aspects of external credentialing/re-credentialing providers and clinicians, including: obtaining provider information and entering into databases such as CAQH and CHAMPS, completing applications, and following up with insurance carriers.
Maintain ongoing communication with insurance carriers to ensure external credentialing profiles and rosters are current and accurate.