Credentialing Coordinator I
Found in: Appcast Linkedin GBL C2 - 2 weeks ago
Arizona Priority Care (AZPC) is an Integrated Provider Network focused on providing Whole-Person care to Senior and Medicaid populations, through advanced value-based models. Our provider network is comprised of more than 3,500 providers including Primary Care, Specialty, Hospital System and ancillary provider partnerships. We have operated in the Arizona market for more than 10 years, and are based in Chandler, Arizona. As a leading value-based provider organization, we are committed to improving the quality of care, providing excellent member and provider experiences all while reducing cost.
The Credentialing Coordinator I is responsible for processing initial credentialing and recredentialing applications for practitioners in accordance with the contracted health plans, regulatory bodies, and NCQA standards. Responsible for verifying primary sources and the data entry component of the credentialing process. The Credentialing Coordinator I, works closely with all Credentialing Staff and management to maintain adherence to the turnaround time requirements to meet regulatory and internal targets
POSITION DUTIES & RESPONSIBILITIES
· Manage the credentialing department email by distributing to the appropriate folders.
· Process incoming main via USPS that includes new or returned mail.
· Review and document EzCap load notifications from the Provider Database Specialist for new contracted practitioners.
· Process practitioner applications within Morrissey database (MSOW) in accordance with the contracted health plan, regulatory bodies, and NCQA standards.
· Enter current data into the MSOW database with a minimum of 10 files per week with a 95% accuracy rate.
· Contact practitioner’s office for additional information needed for completion of credentialing process.
· Process expired primary source verification documents that include state licensure, Drug Enforcement Administration (DEA), Certificate of Insurance (COI), General Liability Insurance (COL) and accreditation/board certifications in a timely manner.
· Manage the credentialing database in Morrissey by making the necessary changes to provider demographics.
· Adds providers to CAQH for credentialing and remove when credentialing process is complete.
· Provide exceptional, courteous, and professional phone customer service.
· Assist practitioners as needed with the credentialing process including status.
· Perform as necessary to accommodate to departmental change, workload, and emergences.
· Maintain current knowledge of CMS and NCQA Standards, and AZPC Credentialing, Plan, policies and procedures.
· Protect privacy for practitioners, to ensure information is kept confidential.
· Demonstrate caring, empathy, patience, respect, and compassion for all team members.
· Demonstrate honesty and integrity in everyday activities.
· Other duties as assigned by management.
EDUCATION, TRAINING AND EXPERIENCE
· High school diploma or GED required.
· Minimum of 1-year administrative healthcare related experience – Required.
· Minimum of 2 years of credentialing/re-credentialing experience preferred.
· Knowledge of Morrissey credentialing software system preferred.
· Working knowledge of computer applications, such as Microsoft Office (Word and Excel)
· Excellent written and verbal communication skills.
· Demonstrate ability to be detail-oriented and multi-task effectively.
*This role requires FT in-office presence for the first 60 days of employment. Hybrid schedule available after initial training period.*
-
Front Office Coordinator
2 weeks ago
Chandler, United States Empower Physical Therapy Full timeJob DescriptionJob DescriptionEmpower Physical Therapy is a PT-led company in four states, focused on providing excellent patient care. Our purpose is strengthening lives through helping others. Empower’s focus is making the patient experience unforgettable through personalized care and upholding our core values:Patients firstGrow with PurposeExcellence...
-
Construction Coordinator
7 days ago
Chandler, United States Leapros Full timeJob DescriptionJob Description Leapros is a trusted workforce solutions partner within the Construction & Industrial industries, offering customized recruitment and hiring solutions to General Contractors and Subcontractors Nationally! We have multiple immediate long-term opportunities in Ocotillo, AZ.. for Construction Coordinators. Must have experience...
-
I&c/lss Project Manager
15 hours ago
Chandler, United States Atlantach Technical Services Full time**I&C/LSS Project Manager** **Arizona** **Atlantach Technical Services** Atlantach USA Inc is an Engineering solutions company specialising in the project management, construction and commissioning market in the USA and Ireland. We are a trusted partner to leading blue chip companies across many sectors with project work spanning semiconductor,...
-
HR Coordinator
7 days ago
Chandler, United States Isola Group Full timeJob DescriptionJob DescriptionIsola, an industry leader in global materials sciences whose mission is to improve life by enabling innovation in electronic products, is hiring a Human Resources Coordinator at our Chandler, AZ facility.Schedule: 8:00 AM and 5:00 PM M-FWork Arrangement: OnsiteEmployment Type: Full-TimeCompensation: $20-$25/hrThe Role:The Human...
-
Revit/CAD Model Coordinator
2 weeks ago
Chandler, United States Access Sciences Full timeJob DescriptionJob DescriptionAre you ready to bring your Revit/CAD expertise to a dynamic team while enjoying the flexibility of working from home? As a full-time Revit/CAD Model Coordinator at Access Sciences, you'll have the opportunity to work on exciting projects that push the boundaries of innovation in the consulting industry. Your creative input...
-
Designer, I&C
Found in: Talent US C2 - 1 week ago
Chandler, United States Exyte Central Europe GmbH Full timeDesigner, I&C Design Chandler Job ID: 17781 Your vision is ambitious. Just like ours. Our people are our success. As one of us, you will contribute to engineering excellence for the high-tech markets of the future, including semiconductors, batteries,...
-
Clinical Research Coordinator
7 days ago
Chandler, United States DOC TRIALS LLC Full timeJob DescriptionJob DescriptionTL;DRAs a Clinical Research Coordinator, you have mastered the art of multitasking, prioritizing, and efficiency. Your acute attention to detail has all your peers asking you to proofread their work (which you love doing!). You thoroughly enjoy dissecting and internalizing large amounts of information. When faced with a...
-
Controls Engineer I
1 week ago
Chandler, United States CareerBuilder Full timeJob Description Job Description If you are a Controls Engineer professional looking for an opportunity to grow and develop professionally, Prime Controls has an opportunity for you based in our Houston, Tx location! Introducing Prime Controls Established in 1991, Prime Controls is a family-owned Systems Integration and I&C Construction firm dedicated to...
-
Controls Engineer I
2 weeks ago
Chandler, United States Prime Controls Full timeJob DescriptionJob DescriptionIf you are a Controls Engineer professional looking for an opportunity to grow and develop professionally, Prime Controls has an opportunity for you based in our Houston, Tx location! Introducing Prime ControlsEstablished in 1991, Prime Controls is a family-owned Systems Integration and I&C Construction firm dedicated to...
-
Human Resources Coordinator
7 days ago
Chandler, United States CareerBuilder Full timeLive Fully at Marriott International - #1 Leader in Hospitality At Marriott International, you have the opportunity to grow in your career, work with teammates that feel like family, and help make our world a better place. The Sheraton Grand at Wild Horse Pass, located at 5594 W Wild Horse Pass Blvd, Chandler, Arizona, 85226 is currently hiring a Human...
-
Trauma Surgeon Needed for Locum Tenens Coverage at Facility in Chandler, Arizona
Found in: beBee S US - 2 weeks ago
Chandler, United States LocumTenens.com Full timeStart Date: ASAPA level I Trauma Center is seeking a trauma surgeon for locum tenens coverage.Chandler, Arizona has many fun year-round events. Visit Desert Breeze Park, jazz festivals, and Ostrich farms!The schedule is flexible typically 24-hour shifts covering Trauma Service, Backup, or ICU. Required procedures include Appendectomy, Cholecystectomy,...
-
Lead Security systems technician
7 days ago
Chandler, United States IES Communications Full timeJob DescriptionJob DescriptionJob Summary:The Lead Security Systems Technician will act as the on-site coordinator and crew supervisor for program and installation of Security Systems (Card Access, CCTV, CATV and Intrusion systems) per manufacturer requirements and engineered drawings. The Lead Security Systems Technician’s task will be to ensure job...
-
Care Manager II-Level I
7 days ago
Chandler, United States Red Rock Behavioral Health Services Full timeJob DescriptionJob DescriptionSummaryThe primary responsibility of the Care Manager is to ensure implementation of a comprehensive care plan, which will include mental, physical and other health goals, and other life domain goals to achieve a clinical outcome consistent with the needs and preferences of the client. Care Managers interact regularly with other...
-
HR Records Associate
1 week ago
Chandler, United States CareerBuilder Full time* PLEASE PROVIDE A RESUME LOCATION: Chandler Support Center 2650 W Geronimo Place, Chandler IDEAL CANDIDATE: * Do you have experience with excel, word, and data entry? * Do you have experience in customer service? (This job will help all the stores hire and update employee information. It requires calling and collaborating with Store leaders) If so, please...
-
Sr. Accountant
7 days ago
Chandler, United States Isola Group Full timeJob DescriptionJob DescriptionIsola, an industry leader in global materials sciences whose mission is to improve life by enabling innovation in electronic products, is hiring a Sr. Accountant.Compensation Range: 80k-95kWork Arrangement: OnsiteDirect Reports: 0The RoleThe Sr. Accountant is responsible for supporting the activities of the Global General...
-
Director of Health Services
1 week ago
Chandler, United States Clarendale of Chandler Full timeJob Description Starting salary is $80,000 When you work at Clarendale of Chandler, you have a front-row seat to the amazing life stories of the wisest people on earth. What's more, you are part of an extraordinary company - one that's investing in the future of senior living by investing in you. Don't just do a job. Be part of an extraordinary life! The...
-
Materials Planning/Scheduling Manager
2 weeks ago
Chandler, United States Isola Group Full timeJob DescriptionJob DescriptionIsola, an industry leader in global materials sciences whose mission is to improve life by enabling innovation in electronic products, is hiring a Materials Planning/Scheduling Manager at our Chandler, AZ location.Compensation: $110K-125KWork Arrangement: OnsiteTHE ROLE:The Materials Planning/Scheduling Manager oversees the...
-
Electrical Designer
2 weeks ago
Chandler, United States Industrial Design Full timeJob DescriptionJob DescriptionIndustrial Design LLC. has the most inventive minds in science and technology. Industrial Design is dedicated to surrounding ourselves with professionals who are more than good at their job. We want engineers, architects, designers, and design support staff who have a desire to help shape our growing organization. Industrial...
-
Project Manager
11 hours ago
Chandler, United States FST Technical Services Full timeJob DescriptionJob DescriptionMission Critical Assured.FST Technical Services was founded in 1984 to serve the needs of the growing, worldwide Semiconductor/Microelectronics and Life Sciences industries. We began as an independent interface between our clients and their subcontractors to establish build clean installation methods that satisfied internal...
-
Electrical Drafter
2 weeks ago
Chandler, United States Industrial Design Full timeJob DescriptionJob DescriptionIndustrial Design LLC. has the most inventive minds in science and technology. Industrial Design is dedicated to surrounding ourselves with professionals who are more than good at their job. We want engineers, architects, designers, drafters, and design support staff who have a desire to help shape our growing organization....