Credentialing Coordinator

Northcare
Oklahoma, OK Other
POSTED ON 9/16/2024 CLOSED ON 11/25/2024

What are the responsibilities and job description for the Credentialing Coordinator position at Northcare?

Job Details

Job Location:    General Pershing Headquarter - Oklahoma City, OK
Position Type:    Full Time
Education Level:    High School
Salary Range:    Undisclosed
Job Category:    Admin - Clerical

Description

Are you ready to make a meaningful impact in the world of healthcare administration? Do you thrive in a dynamic environment where your attention to detail and problem-solving skills can shine? If so, we have the perfect opportunity for you!

 

Job Duties:

  • Ensure timely and accurate completion of all credentialing documentation for Managed Care, Medicaid, Tricare, and Medicare, maximizing reimbursement and maintaining up-to-date provider records.
  • Act as the primary contact for clinical staff on credentialing questions and issues, offering solutions and ensuring smooth operations.
  • Keep abreast of HIPAA, state, federal, and agency regulations to protect sensitive health information and maintain compliance.
  • Track certification and license expirations, manage corporate provider contracts, and uphold the integrity of our credentialing database.
  • Identify training needs and communicate them effectively to ensure that every team member is equipped to succeed.

Benefits/Perks:

  • Competitive salary
  • Recharge days for immediate use upon hire for full-time employees
  • Paid Holidays
  • Paid Time Off
  • Retirement 403(b) with employer contribution (no employee match required)
  • Educational and Training stipend
  • CEU’s and trainings
  • Medical, dental and vision insurance options with ZERO Card benefits
  • Flexible spending accounts for Health Care and Dependent Care Expenses
  • MDLive (company paid)
  • Employee Assistance Program (EAP)

Qualifications


Requirements:

  • You bring and at least three years of administrative experience and two years of credentialing experience, with a solid understanding of managed care/insurance contracts and Medicare/Medicaid requirements.
  • Proficiency in Microsoft Office (or equivalent), exceptional organizational abilities, and a keen eye for detail are essential. You excel in both written and verbal communication and are adept at managing large volumes of information.
  • A customer-focused mindset, a proactive approach to problem-solving, and the ability to thrive in a collaborative environment are key to your success.
  • High school diploma or equivalent required; relevant experience and training are crucial.
  • Must be able to perform administrative tasks, including document management, data entry, and maintaining confidentiality.
  • Ability to sit for extended periods and perform physical tasks related to filing and organizing.

 

If you’re a motivated individual with a passion for healthcare and a knack for credentialing, we want to hear from you! Apply today to join the NorthCare team and help us continue our mission to provide exceptional care.

 

EOE Statement:  NorthCare provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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