Credentialing Coordinator
1 week ago
The Credentialing Specialist plays a vital role in ensuring that healthcare providers meet the necessary qualifications and standards. This position is essential for maintaining the integrity of our healthcare services at the Center for Orthopedic and Research Excel.
Compensation and Benefits:
- Salary range: $18-22 per hour
- Comprehensive Health & Welfare Benefits
- Health Savings Account (HSA) with qualifying High Deductible Health Plans (HDHP) and company contribution
- 401(k) retirement plan available after 6 months of employment with company matching (includes part-time employees)
- 24/7 Employee Assistance Program for support
- Special Employee Appreciation Days
- Wellness Events for employees
Required Qualifications:
- At least 2 years of experience in credentialing.
- High school diploma or GED, or equivalent experience preferred.
- Effective communication skills with physicians, providers, licensing bodies, insurance companies, and the public.
- Able to foster strong working relationships with both internal and external stakeholders.
- Basic understanding of insurance billing and hospital credentialing is advantageous.
Key Responsibilities:
- Review and finalize applications for hospitals and payors on behalf of healthcare providers.
- Complete verification documents for external facilities.
- Keep billing insurance grids, provider insurance grids, and physician spreadsheets updated with current insurance information.
- Monitor and maintain physician licenses, certifications, and Continuing Medical Education (CME) credits.
- Organize and maintain credentialing files for practitioners.
- Ensure that electronic files for practitioners are kept current with all applications and licenses.
- Manage renewal applications for hospitals and insurance providers.
- Familiarity with Employee Handbook and established policies and procedures is essential.
- Follow instructions and established guidelines to perform job functions effectively.
- Support the Credentialing Supervisor with their responsibilities as needed.
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Newtown Square, Pennsylvania, United States Center for Orthopedic and Research Excel Full timePosition OverviewThe Credentialing Coordinator plays a crucial role in ensuring that healthcare providers meet the necessary qualifications and standards to deliver exceptional care. This position involves meticulous attention to detail and effective communication with various stakeholders.Key Benefits:Competitive salary range of $18-22 per hourComprehensive...
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