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Credentialing Operations Coordinator

2 months ago

Birmingham, Alabama, United States Brooksource Full time

Credentialing Operations Coordinator

Remote Opportunity

Long-Term Engagement

**Applicants must reside in Alabama

As a Credentialing Operations Coordinator at Brooksource, you will become an integral part of a dynamic team focused on re-evaluating provider credentials in preparation for an upcoming audit within our healthcare insurance sector. Your role will encompass conducting thorough quality assessments of enrollment submissions to ensure adherence to established guidelines.

Your responsibilities will include liaising with providers to confirm that each application is accompanied by the necessary documentation, contains accurate details, and is transcribed without discrepancies. A significant aspect of your role will involve ensuring the integrity of credentials and verifying that information is entered correctly and promptly.

This position demands meticulous attention to detail, strong organizational skills, and a proactive attitude. If you take pride in achieving targets and maintaining data accuracy, this role is tailored for you. Your performance will be evaluated monthly based on both the precision and volume of credentialed applications.

If you are seeking a chance to advance your career with a leading organization in the healthcare industry, we encourage you to explore this opportunity further.

Qualifications and Responsibilities:

  • Previous experience in credentialing is preferred.
  • Experience in customer service or data entry may be considered in lieu of credentialing experience.
  • Exceptional attention to detail and a commitment to data integrity.
  • Strong verbal and written communication skills.
  • Ability to work efficiently with minimal supervision.
  • Proficiency in Microsoft Outlook, Word, and Excel.
  • No formal degree is required.
  • Conduct quality reviews of enrollment applications to ensure compliance with established guidelines.
  • Assist colleagues in other departments and providers in resolving claims payment issues by verifying provider file information.
  • Support Network Integrity in monitoring and identifying providers who do not meet enrollment compliance standards.

Company Overview and Benefits:

As the largest provider of healthcare benefits in Alabama, Brooksource serves over 3 million individuals and employs a workforce of more than 3,000. We offer flexible working hours, an on-site cafeteria, wellness programs, and a fitness center, fostering a stable and motivating work environment. If you are looking for opportunities for training, education, and mentorship, along with career stability and exposure to essential technologies, this position is an excellent fit for you.