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Credentialing Coordinator

4 weeks ago

Plano, United States Select Physical Therapy Full time

Overview

Select Medical Outpatient Division

Credentialing Coordinator

3820 American Drive

Plano, Texas 75075

Full Time (On-Site/Hybrid)

M-F 7:30am-4:00pm (w/ some flexibility)

Diverse Health Benefit Packages, PTO & EID Leave, 401K company match & more

* Do you have experience in provider credentialing or another related healthcare field?

*Are you an individual looking to continue a career in the non-clinical side of healthcare?

*Do you enjoy performing diverse tasks while working with a collaborative team in an office setting?

Then this might be an opportunity for you 

Responsibilities

Manage state specific credentialing activities for providers in our outpatient facilities. Prepare and process all credentialing documentation. Update and maintain current and accurate practitioner files and data base. Track and report practitioner changes to appropriate parties. Communicate with practitioners, data banks, state licensing and regulatory bodies, educational programs, health plans, and other divisions within the company. Coordinate with health plans to provide practitioner credentialing documentation as required. Participate in activities associated with health plan site audits and Credentialing Committee meetings. Coordinate training and educational requirements for credentialing staff. Provide routine updates and status reports for health plans and other divisions within the company. Maintain confidentiality of practitioner information. Collaborate with team members to assist with process improvement and development of policies and procedures. Provide routine updates and status reports for health plans and other divisions within the company. Coordinated efforts with other credentialing and Managed Care personnel. Troubleshoot with internal business operations and Managed Care contracting to resolve accounts receivable delays due to credentialing issues. Participate in development and coordination of departmental CQI initiatives. Perform other duties as assigned.

Qualifications

Minimum Qualifications

At least 2 years of experience in provider credentialing or other related healthcare field Proficient in Windows (Word, Excel, and Access). Ability to be professionally assertive with internal and external partners in order to be influential in finding resolutions. Strong oral and written communication skills with the ability to interact professionally and positively within all levels of the organization. Detail oriented with good organizational skills and the ability to maintain accuracy while meeting deadlines and production requirements. Excellent interpersonal skills and commitment to quality improvement.  Professional with the ability to work well independently as well as collaboratively with a team.

Preferred Qualifications

Prior credentialing experience. Knowledge of credentialing processes, terminology and NCQA standards. Strong analytical skills, including process improvement and problem resolution.

Level 1 $17-$19/hr based on experience

Level 2 $20-$21/hr based on experience

Additional Data

Select Medical is committed to having a workforce that reflects diversity at all levels and is an equal opportunity employer. Qualified applicants are considered for employment, and employees are treated during employment without regard to race, color, religion, national origin, citizenship, age, sex, sexual orientation, gender identity, marital status, ancestry, physical or mental disability, veteran status, or any other characteristic protected under applicable law.

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