Credentialing Coordinator
Are you passionate about healthcare and committed to ensuring quality standards for providers? Do you get satisfaction from seeing boxes checked and to-do lists completed? Do you find joy in engaging with a wide variety of people? Integritas Providers, LLC is seeking a dedicated Credentialing Coordinator to play a pivotal role in our mission to deliver exceptional healthcare services. In this dynamic position, you will manage the credentialing process for healthcare providers, ensuring they meet necessary qualifications and standards while maintaining accurate records and facilitating communication with client facilities. If you are ready to make a difference, using your skills to truly impact the lives of patients and providers alike – apply today!
Job Title: Credentialing Coordinator
Location: Remote, with limited travel for meetings. Would prefer Southern Indiana/Southern Illinois residency.
Hours: Monday – Friday 8:00 AM – 4:30 PM
Salary Range: $19 – $21 per hour / depending on life, work, and educational experience.
Company Overview: Integritas Providers, LLC was founded with a mission to deliver high-quality healthcare staffing and management services to hospitals and healthcare facilities. Over the years, Integritas has grown to become a trusted provider of skilled healthcare professionals, specializing in emergency medicine, hospitalist services, and clinical staffing solutions. Our values connect and inspire us, our behaviors build healthy relationships, and the services we deliver reflect our strong culture. Our commitment to innovation and excellence has positioned us as leaders in healthcare staffing and management. Integritas is honored to be recognized as one of the Best Places to Work in Illinois for three consecutive years, from 2022 to 2024.
Position Overview: The Credentialing Coordinator is essential in ensuring healthcare providers meet the necessary qualifications and standards required for practice. This role requires a combination of strong interpersonal skills, attention to detail, and administrative expertise to manage the credentialing process effectively. The coordinator will handle provider credentialing, data entry, and maintain accurate records, while facilitating communication between providers and client facilities. This position is vital to delivering high-quality healthcare services by ensuring all providers are properly credentialed and prepared to meet patient needs.
Benefits:
- Health, Dental, Vision, Life, and Disability insurance
- Generous paid time off (vacation, personal, caregiver, holidays, volunteer)
- 401(k) with employer match
- Continuing Education
- Employee Assistance Program: All Medical Benefit / Confidential Counseling Services
- Other: Cell Phone Reimbursement / Fitness reimbursement / Spot Insurance / Drury Inn Corporate Discount
Experience and Skills Needed:
- High School Diploma (or equivalent)
- Excellent communication skills (written and oral, through various means)
- Ability to balance multiple projects and prioritize tasks effectively
- Works well both independently and within a team
- Strong problem-solving skills and detail-oriented
- Research skills; the ability to effectively gather, analyze and synthesize information relevant to the credentialing process
- Ability to build and maintain effective and positive interactions with various stakeholders involved in the credentialing process
- Excellent record-keeping abilities
- Experience in a professional office setting (medical office preferred)
- Proficiency in Microsoft Office and general computer skills
- Customer service experience, preferably with medical providers
- Data entry experience
Key Responsibilities:
Provider Credentialing:
- Prefill and maintain provider files, gather necessary application information, and ensure timely resolution of practitioner concerns.
- Populate and send reappointment applications to providers and maintain documentation in the credentialing database.
- Monitor and update credentialing spreadsheets, including conducting monthly OIG checks and reviewing files for missing information.
Credentialing Data Entry:
- Review and input provider information into the CRM using supporting documents, maintaining accurate provider profiles.
- Populate various provider applications and track expiring certifications through the Credentialing Dashboard.
Administrative Tasks:
- Manage site-specific reference forms and organize miscellaneous documents in the file storage system.
Client Facility Credentialing:
- Oversee credentialing files at assigned facilities, maintaining relationships with facility credentialing coordinators.
- Process provider credentialing according to hospital policies and confirm provider privileges and terminations.
Billing Support:
- Upload billing documentation to relevant portals and assist with insurance enrollment and revalidation paperwork.
- Ensure correct billing information is maintained in CAQH accounts and facilitate completion of client billing paperwork.
Certifications Management:
- Review and update hospital certification requirements, contacting certification contacts for course information.
- Host meetings to update the company on certification status and maintain provider files with current certifications.
Licensing Support:
- Assist providers in applying for state licenses as needed.
Team Participation:
- Engage in coaching meetings, credentialing huddles, and training sessions to foster team collaboration and development.
Other Duties:
- Perform additional tasks as assigned to support the credentialing process and organizational goals.