Credentialing Coordinator
Location
Jackson, MS | United States
Job description
MedBridge is a growing surgery center development company providing financial and management services to its clients. MedBridge believes in providing the highest quality of service, excellent employee benefits, and a team-oriented work environment.
Employee Benefits - Fully Remote Role
- Flexible work schedule 6 am - 6 pm
- PTO: 25 days per year (5 weeks)
- Holidays: 8 paid holidays per year
- PEP Time: Paid time for exercise through our Physical Energy Program (PEP)
- Volunteer Time: Paid time for volunteerism through our Corporate Social Responsibility (CSR) program
- Medical Insurance: $20 per month employee-only contribution
- Dental, Vision, Life & Long-Term Disability Insurance: 100% employee-covered
- FSA: Medical and Dependent Care Flexible Spending Accounts
- 401(k): Auto-enrollment in the company 401(k) plan
- Hourly Pay Range: $19.25 - $25.50
Position Summary
The Credentialing Coordinator reports to the Director of Clinical Services and the Credentialing Specialist and works in all aspects of the credentialing, recredentialing, and privileging for all medical providers who provide patient care at MedBridge’s managed surgery centers and physician practices. Maintains up-to-date data for each provider in credentialing databases and online systems; ensures timely renewal of licenses and certifications.
Primary Responsibilities - Compiles and maintains copies of current state licenses, DEA certificates, malpractice coverage, and any other required credentialing documents for all medical providers in an accurate and timely manner.
- Completes provider credentialing and re-credentialing applications; monitors applications and follows-up as needed.
- Maintains corporate provider contract files.
- Maintains knowledge of current health plan and agency requirements for credentialing providers.
- Sets up and maintains provider information in online credentialing database system and paper credentialing files on site at MedBridge.
- Acts as liaison between corporate MedBridge office and onsite Directors of Nursing/Nurse Managers in regard to provider credentialing.
- Assists facilities onsite as needed to develop and/or improve credentialing processes with onsite managers and physicians. May require occasional travel within Santa Barbara and to Los Angeles and San Francisco Bay Area.
- Tracks license and certification expirations for all providers to ensure timely renewals.
- Builds and maintains professional relationships with physician providers.
- Processes applications for appointment and reappointment of privileges to managed surgery centers and physician practices.
- Tracks license, DEA and professional liability expirations for appointed providers.
- Create and maintain credentialing management manual.
- Maintains confidentiality of provider information.
- Provides credentialing and privileging verifications as needed.
- Performs other duties as assigned.
- Complies with company confidentiality and PHI policies and practices in accordance with HIPAA regulations
- Perform other duties as assigned
Skills Required - High school diploma or equivalent. Bachelor’s degree is preferred.
- Knowledge and understanding of the credentialing process.
- Certified Provider Credentialing Specialist (CPCS) preferred.
- Two years of relevant credentialing experience preferred.
- Must have full understanding of the English language, both verbal and written.
- Strong communication skills (both written and verbal; long distance and in-person).
- Able to communicate professionally with physicians and all members of the team.
- Proficient in Windows, MS Office (Word, Excel, Outlook), Adobe PDF, and database management software.
- Experience and familiarity with healthcare administration.
- Experience with data tracking in Excel and other electronic databases.
- Strong attention to detail.
- Self-starter; ability to push projects to completion with minimal oversight or instruction.
- Ability to work both individually and collaboratively with a team.
Job tags
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