Credentialing Coordinator

Overview

Select Medical Outpatient Division

3820 American Drive, Plano, Texas 75075

Credentialing Coordinator

Full Time (On-Site/Hybrid)

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

$17-19/hour based on experience

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

Are you an individual who enjoys working on the business side of health care?

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

Do you want to work for a company devoted to helping others and achieving outcomes that improve quality of life?

Then this might be an opportunity for you! Watch for a glimpse into life at Select Medical!

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.
• 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.

Additional Data

Select Medical strives to provide our employees with work-life balance, as we understand that happy employees have both fulfilling careers and fulfilling lives beyond our doors. Other benefits include:

• An extensive and thorough orientation and training program.
• Develop collaborative relationships with multiple departments on campus.
• Corporate campus with access to walking trails and beautiful outdoor rest areas.
• Paid Time Off (PTO) and Extended Illness Days (EID).
• Health, Dental, and Vision insurance; Life insurance; Prescription coverage.
• 401(k) retirement plan with company match.
• Short and Long Term Disability.
• Personal and Family Medical Leave.

Equal Opportunity Employer including Disabled/Veterans

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Job ID

Experience (Years) 2

Category Corporate - Administration

Street Address 3820 American Dr.

Min USD $17.00/Hr.

Max USD $19.00/Hr.