Provider Credentialing Coordinator

FraserBloomington, MN
$20 - $25Hybrid

About The Position

Fraser is seeking a Provider Credentialing Coordinator who will work closely with Fraser clinical staff to support the completion of credentialing materials. This role is responsible for efficiently processing enrollment applications for both government and commercial health plans and managing the ongoing participation requirements for all enrolled practitioners.

Requirements

  • BA/BS/AAS in related field such as medical coding/billing, accounting or health information preferred.
  • Equivalent educational and experience required.
  • Extensive credentialing experience.
  • Experience with insurance carriers including Medicaid, ICD -10, CPT codes, modifiers.
  • Commitment to promoting diversity, multiculturalism and inclusion with focus on culturally responsive practice, internal self-awareness and reflection.

Responsibilities

  • Interact with Fraser clinical staff to assist with completion of credentialing materials. Enter data timely and accurately.
  • Process enrollment applications for both government and commercial health plans, and manage the ongoing participation requirements of the plans for all practitioners enrolled.
  • Populate, maintain, and update the credentialing software including accountability for the integrity of information they enter into the database.
  • Access external databases to obtain primary source documents necessary to complete the applications according to organizational policy.
  • Interact with representatives from health plans to answer inquiries and clarify requirements.
  • Perform tasks/projects to support other revenue cycle operations as needed.
  • Work as part of Fraser’s Revenue Cycle team, assisting with problem-solving claims and responding to inquiries.

Benefits

  • Medical, dental and vision insurance
  • Health Savings Account (HSA) and Flexible Spending Account (FSA)
  • Employee Assistance Plan (EAP)
  • Life, AD&D and Voluntary Life Insurance
  • Long-Term Disability, Accident Insurance, Critical Illness Insurance and Hospital Indemnity Insurance
  • Pet Insurance
  • 403(b) Retirement Plan with Company Match
  • Work-Life Balance; 5 weeks of paid time off annually (18 days PTO + 9 Paid Holidays)
  • Opportunities for community involvement in Fraser-organized events
  • Career growth opportunities
  • Employee Referral Bonuses
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