Credentialing Coordinator - Remote

Genesis Administrative Services • UNAVAILABLE, IL

17h • Remote

About The Position

The Credentialing Coordinator coordinates credentialing and re-credentialing activities for therapists seeking participation in health plans, working with territory operations staff. The role researches payer requirements; manages application submission, mailing, review, and entry into a database tracking system; and helps maintain high-quality standards. The coordinator provides feedback to reduce errors and contributes to credentialing policies and procedures. This is a remote position open to candidates anywhere in the United States.

Requirements

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

Nice To Haves

• Bachelor's degree or equivalent work experience.
• Experience with CAQH and NCQA guidelines.

Responsibilities

• Obtain 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 and other regulatory and licensing requirements; assist therapists with applications and provide guidance.
• Maintain a database of health-plan credentialing requirements, including ongoing maintenance and renewal requirements.
• Maintain the provider database consistent 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.
• Dental and vision plans for part-time team members.
• Paid time off for full-time and part-time team members.
• Free continuing education units through Medbridge.
• Visa or Green Card sponsorship support and relocation assistance.
• Exclusive discounts on wireless/TV, home/auto/renters and pet insurance, childcare, eldercare, and more.
• Employee recognition rewards through the PowerZone Employee Recognition Program.
• Professional development through the Clinicians in Action program.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed