Credentialing Coordinator

Health Care Service Corporation•Richardson, TX

6d•Hybrid

About The Position

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development. Job Summary This position is responsible for ensuring professional providers applying for initial or ongoing network participation are credentialed or recredentialed in a timely and appropriate manner for presentation to the medical director and/or credentialing committee; ensure documentation for those providers approved for network participation is current at time of the committee determination.

Requirements

High school diploma or GED.
3 years business experience.
A combination of college level education and experience will be considered
1 year Credentialing OR Quality audit experience
Clear and concise interpersonal, verbal and written communication skills to facilitate the learning process; coaching and mentoring skills
Experience with multi-tasking and adhering to tight timelines.
PC experience in Windows, Word, Excel, Access, and other business related/associated databases.
Demonstrated analytical and organizational skills
Knowledge of Managed Care products, programs, and services.

Nice To Haves

2 years of college courses in Business or Medical field.
Project Management experience.
Previous experience in oversight of credentialing/claims activities.
Knowledge of Power Point, Visio and Access.

Responsibilities

ensuring professional providers applying for initial or ongoing network participation are credentialed or recredentialed in a timely and appropriate manner for presentation to the medical director and/or credentialing committee
ensure documentation for those providers approved for network participation is current at time of the committee determination