Senior Credentialing Coordinator

Tulane UniversityNew Orleans, LA

About The Position

Responsible for all activities related to enrollment/credentialing and re-enrollment/ re-credentialing of all physicians in contracted Managed Care and Governmental Health Insurance Plans. Provide Management with the necessary data required in the negotiation of new contracts. Works with Business Services Staff in the resolution of provider enrollment/credentialing issues. Works in a highly complex environment with a multiple level of staff, management, and physicians. Work with large volumes of data. Meets initial deadlines and follow up deadlines consistently. Interfaces with TUHC and credentialing vendors for delegated credentialing.

Requirements

  • Work with large volumes of data.
  • Meets initial deadlines and follow up deadlines consistently.

Responsibilities

  • Responsible for all activities related to enrollment/credentialing and re-enrollment/ re-credentialing of all physicians in contracted Managed Care and Governmental Health Insurance Plans.
  • Provide Management with the necessary data required in the negotiation of new contracts.
  • Works with Business Services Staff in the resolution of provider enrollment/credentialing issues.
  • Works in a highly complex environment with a multiple level of staff, management, and physicians.
  • Work with large volumes of data.
  • Meets initial deadlines and follow up deadlines consistently.
  • Interfaces with TUHC and credentialing vendors for delegated credentialing.
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