What are the responsibilities and job description for the Credentialing Coordinator position at Emerson Group?
Credentialing Coordinator needed for large hospital system. 8-12 weeks CONTRACT position.
Hybrid!
$25-$26./hr
40 hours a week
Job Responsibilities
- Coordinates with over 550 clinicians to update and maintain PECOS and CAQH to ensure accuracy of data to maintain payer credentials and re-credentialing for the ability to maintain billing for services rendered to patients.
- Coordinates and works directly with the clinicians and practice managers for attestation of information in the CAQH system, which is required every 90 days.
- Maintains all data in the system.
- Responsible for maintaining all practice location information for ADA compliance for all payers per their request, as well as the CAQH file.
- Manages the Payer Credentialing documents folder to ensure all documents for credentialing are uploaded and maintained.
- Works with practice manager and/or provider to facilitate the gathering of documents for timely processing into the CAQH system.
- Coordinates all quarterly payers audits to ensure accurate roster information is maintained in the payer directories, via spreadsheets and faxed information received.
- Client's contact for payer's phone calls, emails and faxed requests (demographic calls, ADA forms, demographic information faxes from the payers.
- Works with all clinicians to set up PECOS and CAQH accounts as well as establish clinician NPI's.
- Participates frequently in all project related function in department and assists other team members as required.
Required Experience:
- 2-3 years progressively responsible experience in payer credentialing, and/or physician billing experience
- Mid level Excel knowledge
- Demonstrates accurate knowledge of payer credentialing guidelines
- Experience in utilizing CAQH, NPI and PECOS websites. A PLUS!
- Excellent communication (verbal, written) and organizational skills.
- Able to work independently.
- Attention to detail and accuracy is vital
- Ability to work under pressure for a demanding clientele (physicians).
- Excellent customer service skills.
- Flexibility in order to assist or cover for other team members as required.
Required Education:
- High School graduate.
- Associates Degree preferred
Training / Certification / Licensures:
- National Committee of Quality Assurance Certification (NCQA) preferred. A PLUS
Salary : $25 - $26
