[Remote] Credentialing Coordinator I Nonexempt

Note: The job is a remote job and is open to candidates in USA. AdventHealth Colorado is a community-focused healthcare organization dedicated to uplifting others in body, mind, and spirit. The Credentialing Coordinator I is responsible for managing the credentialing database, processing and verifying credentialing information, and providing administrative support to ensure compliance with established policies and procedures.

Responsibilities

• Populates, updates, and verifies the correctness and completeness of database information on an ongoing basis
• Coordinates and provides administrative support for processing, verifying, and maintaining credentialing information for new applicants and re-applicants to all hospital sites
• Performs and tracks primary source and other required verifications for all applicants according to established policies and procedures
• Responds to customer inquiries and resolves problems within established policies and procedures
• Prepares and provides client advisory reports, including status reports, expired items reports, and completed file reports to meet contractual time frames
• Uses critical thinking skills to flag incongruent issues or information during credentialing and data entry tasks
• Manages the integrity of the credentialing database and appropriateness of hard copy information received and provided to contracted entities
• Produces tracking reports to detect and resolve work in process issues
• Provides departmental administrative support to leadership in carrying out activities and coordinates completion of related projects
• Supports the health system mission, values, and philosophy, maintaining adherence to professional confidentiality standards
• Ensures information is maintained confidentially as required by local, state, and federal law
• Maintains ongoing communication and feedback with all stakeholders, customers, and staff
• Performs other duties as assigned

Skills

• Demonstrated experience in effectively providing medical staff services and support
• Ability to communicate (verbal/written) effectively at different levels of the organization
• Demonstrated interpersonal skills and ability to support and work in collaboration with multiple sites as needed
• Professional demeanor, business acumen, political astuteness, adaptability, and diplomacy combined with the ability to establish and maintain collaborative relationships across the organization
• Demonstrated client management skills including customer service and physician relations
• Team oriented with a high degree of initiative; a self-starter with demonstrated data entry, administrative skills, and proficiency in payroll, accounts payable, and accounts receivable
• Highly detail-oriented and organized with analytical and critical thinking skills. The ability to produce and proof reports and type correspondence is essential
• Results driven with the ability to effectively multi-task, manage conflicting priorities, and function in demanding, stressful, and fast-paced confidential environments
• Computer skills and proficiency in MSOffice (Word, Excel, Access, PowerPoint, Outlook), document imaging (i.e., fax, scanner, Image Now), and knowledge of healthcare, hospital/provider operations, and managed care payer operations
• High School Grad or Equiv
• 3+ in medical staff services, CVO, managed care credentialing or healthcare related experience
• General knowledge of healthcare, hospital and provider operations, managed care payer contracts and operations, NCQA requirements for delegated credentialing, CAQH, and MD Staff and/or other systems used to determine provider medical privileges
• Prior experience in credentialing, privileging, practitioner database management, insurance (governmental and 3rd Party Payers), and additional language skills (i.e., Spanish)
• Associate
• Certified Provider Credentialing Specialist (CPCS)
• Certified Professional Medical Staff Management (CPMSM)

Benefits

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
• Paid Time Off from Day One
• 403-B Retirement Plan
• 4 Weeks 100% Paid Parental Leave
• Career Development
• Whole Person Well-being Resources
• Mental Health Resources and Support
• Pet Benefits

Company Overview

At AdventHealth, Extending the Healing Ministry of Christ is our mission. It calls us to be His hands and feet in helping people feel whole. It was founded in undefined, and is headquartered in Denver, US, with a workforce of 10001+ employees. Its website is https://networkofcare.adventhealth.com/colorado.