What are the responsibilities and job description for the Credentialing Coordinator position at Forefront Dermatology?
Overview
Job Description
Come join our team! We have an immediate need for a Credentialing Coordinator at our Manitowoc Headquarters! If you are ready to make an impact every day, and thrive in a fast-paced environment, then a career at Forefront may be the perfect fit for you!
Summary
The Credentialing Coordinator is responsible for ensuring that all credentialing and provider enrollment processes for Physicians and Mid-Levels are completed in an accurate, timely manner and all existing Physician and Mid-Level credentials are renewed and current.
Here Are Just a Few Things We Offer
Essential Functions:
Education:
Job Description
Come join our team! We have an immediate need for a Credentialing Coordinator at our Manitowoc Headquarters! If you are ready to make an impact every day, and thrive in a fast-paced environment, then a career at Forefront may be the perfect fit for you!
Summary
The Credentialing Coordinator is responsible for ensuring that all credentialing and provider enrollment processes for Physicians and Mid-Levels are completed in an accurate, timely manner and all existing Physician and Mid-Level credentials are renewed and current.
Here Are Just a Few Things We Offer
- Access to health, dental, and vision insurance
- Eligible for PTO and Holiday pay
- Company paid life insurance and long term disability
- Access to voluntary short term disability insurance and additional life insurance
- 401K with employer contribution
- Profit sharing
- Employee discounts
- And much more!
Essential Functions:
- Complete enrollment packets for providers including preparing applications, follow up phone calls, faxing information, sending letters, acquiring signatures, etc. to secure the needed information
- Thoroughly document all tasks and communications
- Keep track of the status of each application (i.e. what information is missing, what steps have been taken to retrieve such information)
- Serve as the liaison between providers and payers to ensure the appropriate information is submitted and processed timely
- Communicate with provider by phone or via email and serve as a direct contact with provider regarding their enrollment status/issues/concerns
- Scan and enter information/documentation into credentialing system
- Maintain provider records and files with accuracy
- Track and follow up on provider documents that are set to expire including state licensure, DEA, CSR, malpractice insurance, etc.
- Independently research and resolve enrollment issues regarding payers
- Handle all re-credentialing requests from hospitals (staff affiliations) and payers
Education:
- High School Diploma or equivalent is required, Bachelor’s degree in business or a related field is preferred
- Maintain strict confidentiality and follow government confidentiality regulations
- Work independently, yet function within a team approach, with minimal supervision
- Organize and set work priorities, work under pressure, and meet deadlines
- Skilled in establishing, monitoring and maintaining a system of records, software programs, databases and reports
- Must have excellent attention to detail and follow-through skills
- Strong professional communication skills, both written and verbal; communicates effectively with others in person and over the phone
- Solid computer skills, specifically Microsoft Word, Excel and Adobe Acrobat 9 or higher required; SyMed/Echo OneApp Pro knowledge preferred
