Credentialing Coordinator

2 weeks ago

Tacoma, Washington, United States PacificSource Full time

Base Salary Range:
$31, $51,186.77

Are you passionate about making a difference in healthcare? Join PacificSource and support our members in accessing quality, affordable care. PacificSource is committed to equal opportunity employment, ensuring that all qualified candidates are considered without regard to protected status, including race, religion, color, national origin, sex, sexual orientation, gender identity, or age.

Diversity and Inclusion:
At PacificSource, we value the diversity of our workforce and the communities we serve. We are dedicated to fostering an inclusive environment where individual differences are recognized, respected, and leveraged to enhance the talents and strengths of every team member.

Key Responsibilities:
As a Credentialing Coordinator, you will assist in the credentialing and re-credentialing processes for healthcare practitioners and facilities. Your role will involve ensuring compliance with regulatory and policy requirements throughout the credentialing lifecycle. Key tasks include:
  • Overseeing the receipt and data entry of credentialing and re-credentialing applications into the database.
  • Managing monthly re-credentialing communications and following up with practitioners as needed.
  • Facilitating internal and external audits related to credentialing records.
  • Maintaining a comprehensive database to generate reports and summaries.
  • Performing various administrative tasks, such as preparing meeting agendas and minutes, ordering supplies, and assisting with provider workshops.
  • Updating provider appointment statuses based on monthly reports and running weekly credentialing validations.

Supporting Responsibilities:
In addition to your primary duties, you will:
  • Provide backup support to the operations department during staff absences.
  • Assist with managing delegation data.
  • Download electronic credentialing applications from external sources.
  • Support data integrity audits.
  • Meet departmental performance and attendance standards.
  • Adhere to PacificSource privacy policies and HIPAA regulations regarding protected health information.
  • Perform additional duties as assigned.

Qualifications:
To be successful in this role, you should have:
  • A minimum of one year of experience in a detail-oriented position that requires multitasking and contributing positively to a work environment, or six months of internal experience at PacificSource.
  • A high school diploma or equivalent.

Knowledge and Skills:
Ideal candidates will possess:
  • A foundational understanding of credentialing processes.
  • Proficiency in Microsoft Word, Excel, Adobe Pro, and Access, with a focus on database management.
  • The ability to make sound administrative decisions and maintain organized record-keeping systems.
  • Strong attention to detail and excellent customer service skills.
  • Effective written and verbal communication abilities, along with professional telephone etiquette.
  • Exceptional grammar, spelling, punctuation, and editing skills.
  • Strong interpersonal skills.

Competencies:
Building Customer Loyalty.

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