Credentialing Coordinator I

3 weeks ago


Chandler, Arizona, United States Arizona Priority Care Full time
Credentialing Coordinator I Job Description

Arizona Priority Care is seeking a highly organized and detail-oriented Credentialing Coordinator I to join our team. As a Credentialing Coordinator I, you will play a critical role in ensuring the accuracy and completeness of provider credentialing data.

Key Responsibilities:

  • Process initial credentialing and recredentialing applications for practitioners in accordance with contracted health plans, regulatory bodies, and NCQA standards.
  • Verify primary sources and enter data into the Morrissey database with a minimum of 10 files per week and a 95% accuracy rate.
  • Manage the credentialing database in Morrissey by making necessary changes to provider demographics.
  • Provide exceptional customer service and assist practitioners with the credentialing process.
  • Maintain current knowledge of CMS and NCQA Standards, and AZPC Credentialing, Plan, policies and procedures.

Requirements:

  • High school diploma or GED required.
  • Minimum of 1-year administrative healthcare-related experience.
  • Minimum of 2 years of credentialing/re-credentialing experience preferred.
  • Knowledge of Morrissey credentialing software system preferred.

What We Offer:

  • A dynamic and supportive work environment.
  • Opportunities for professional growth and development.
  • A competitive salary and benefits package.


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