Medical Insurance Credentialing Specialist

2 hours ago


Kansas City, Missouri, United States St Joseph Medical Group Full time
Overview

At St. Joseph Medical Center, our dedicated team of professionals is committed to delivering exceptional patient care and quality services. As a member of Prime Healthcare, St. Joseph Medical Center is seeking a highly skilled Medical Insurance Credentialing Coordinator to join its award-winning team.



The Medical Insurance Credentialing Coordinator plays a critical role in ensuring seamless provider enrollment and re-credentialing processes with commercial and government health plans. This position requires strong analytical and communication skills, as well as the ability to maintain accurate records and meet deadlines.



The ideal candidate will possess a strong understanding of managed care company and plan requirements, as well as experience with CAQH maintenance and credentialing software. If you are a detail-oriented and organized professional with a passion for delivering exceptional results, we encourage you to apply for this exciting opportunity.



Responsibilities

Key responsibilities of the Medical Insurance Credentialing Coordinator include:


  • Tracking provider enrollments and re-credentialing
  • Maintaining accurate records and reports
  • Communicating effectively with Regional Directors and other stakeholders
  • Staying up-to-date with changing managed care company and plan requirements

Qualifications

To be successful in this role, the Medical Insurance Credentialing Coordinator should possess:


  • An Associate's degree or equivalent education/experience
  • Certified Provider Credentialing Specialist (CPCS) certification
  • Strong computer, communication, and writing skills
  • Proficiency in Microsoft Office: Word, Excel, and PowerPoint
  • A positive attitude and willingness to learn

St. Joseph Medical Center is an equal employment opportunity employer and prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age, disability, military status, genetic information, or any other basis protected by applicable federal, state, or local laws.


Join our team and be part of a dynamic and compassionate healthcare organization that is committed to delivering exceptional patient care and quality services.



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