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Payer Credentialing Coordinator

2 months ago


Englewood, Colorado, United States AdventHealth Full time
About the Role

We are seeking a highly skilled Payer Credentialing Coordinator to join our team at AdventHealth. As a key member of our operations team, you will play a critical role in ensuring the smooth onboarding experience for our providers.

Key Responsibilities
  • Manage an assigned territory of providers, completing all commercial delegated credentialing requirements, collection of all government enrollment materials, to ensure meeting the targeted employment effective date.
  • Communicate with OMA leadership to escalate slow or non-responsive providers who are at risk of meeting their assigned employment effective dates.
  • Coordinate and manage communications through SharePoint software with multiple on-boarding teams, validation of accurate information, tracking step-by-step progress on each assigned provider documented clearly.
  • Understand strategies of how clinics are set up, tax id#'s, group NPI#'s, to assist employed clinics as well as assist in developing opportunities for non-employed clinics.
Requirements
  • High school diploma/GED
  • Two (2) years of healthcare-related physician/allied health professionals credentialing experience, medical staff related experience, or degree in business administration or medical staff services in management, in lieu of experience.
About AdventHealth

AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.