• Credentialing Coordinator

    Select Medical (Plano, TX)


    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.

    + 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.

     

    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_

     

    Apply for this job (https://jobs-selectmedicalcorp.icims.com/jobs/342499/credentialing-coordinator/job?mode=apply&apply=yes&in\_iframe=1&hashed=1374627814)

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    **Job ID** _342499_

    **Experience (Years)** _2_

    **Category** _Corporate - Administration_

    **Street Address** _3820 American Dr._

    **Min** _USD $17.00/Hr._

    **Max** _USD $19.00/Hr._