Medical Insurance Coordinator

1 day 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 service. As a member of Prime Healthcare, St. Joseph Medical Center is seeking a 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 communication and organizational skills, as well as a comprehensive understanding of managed care company and plan requirements.



The ideal candidate will possess a positive attitude, strong computer skills, and the ability to work effectively in a fast-paced environment. If you are a detail-oriented and organized professional with a passion for healthcare, we encourage you to apply for this exciting opportunity.



Responsibilities

• Track provider enrollments, re-credentialing, and new contract applications with commercial and government health plans.


• Perform CAQH maintenance and ensure timely updates to Regional Directors.


• Possess comprehensive knowledge of managed care company and plan requirements.


• Monitor and maintain websites for pending revalidations and credentialing requests.


Qualifications

• Associate's degree or equivalent education/experience.


• Certified Provider Credentialing Specialist (CPCS) preferred.


• Strong computer, communication, and writing skills.


• Proficient in Microsoft Office: Word, Excel, and PowerPoint.


• Positive attitude and willingness to learn.


• Knowledge of managed care plans, PECOS, NPPES, and CAQH.



We are an equal employment opportunity employer and prohibit discrimination against any applicant or employee based on protected categories. We are committed to providing a work environment that is free from harassment and discrimination.



Apply today to join our team and contribute to the delivery of exceptional patient care and service



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