Credentialing Coordinator
Found in: Resume Library US A2 - 1 week ago
United Vein & Vascular Centers is a rapidly growing national healthcare organization specializing in state-of-the-art, minimally invasive surgical vein and vascular treatments. With numerous clinics across Florida, Georgia, Colorado, Arizona, and Illinois, we have positively impacted the lives of thousands of patients. Our team of dedicated physicians and staff work together to deliver exceptional care, utilizing the latest technology and cutting-edge techniques. Join our growing team as we continue to revolutionize the industry and transform lives
Responsibilities:
The Credentialing Coordinator supports the Physician and healthcare professionals credentialing process and functions of United Vein & Vascular Centers.
Complete credentialing applications accurately and thoroughly for provider enrollment into health insurance networks.
Review provider documents and compare against payer requirements to ensure completeness.
Research and correct directory listing errors and payer participation issues.
Frequent follow-ups with payer contacts to obtain credentialing and contracting statuses.
Outreach to providers, as needed, to obtain signatures or missing documents.
Organize provider files and update credentialing status in project management software platform.
Obtain payer fee schedules.
Continuously look for process improvements to increase efficiency.
Handle confidential information with the utmost discretion.
Demonstrate and promote a work culture committed to UVVC’s Core Values: Understanding, Nurturing, Ingenuity, Trust, Excellence, and Diversity.
Demonstrate behaviors that are consistent with UVVC’s Standards of Conduct as outlined in our Employee Handbook.
Maintain the confidentiality and security of Protected Health Information (PHI) in accordance with UVVC policies, the Health Insurance Portability and Accountability Act (HIPAA), and other applicable laws and regulations. PHI is a top priority of our organization.
Other duties as assigned.
Qualifications:
High school diploma or GED required. Some college or AA degree preferred.
Minimum of 3 years physician credentialing experience required.
Attention to detail and high-quality work product.
Excellent written and verbal communication skills.
Positive can-do attitude and eagerness to learn.
Ability to learn new processes and new software programs with ease.
Must be able to demonstrate extreme confidentiality in the role.
We Offer:
Competitive compensation package
Health, vision and dental benefits
401K plan
Life insurance (100% company paid)
PTO and paid holidays
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