Credentialing Coordinator REMOTE US

Credentialing Coordinator

Type: Temporary
Location: REMOTE US
Hours: Mon - Fri 8:00 am- 5:00 pm
Rate: $16.37 hour W2

The Credentialing Coordinator is responsible for initial credentialing and re-credentialing nurse practitioners, physician assistants and physicians in a compliant and timely manner; monitor expired credentials and compliance monitoring in accordance with Joint Commission accreditation, NCQA and URAC credentialing standards as required.

• Responsible for the timely and accurate processing of all providers including NP’s/PA’s/MD’s initial and Re-credentialing applications according to the Minute Clinic Provider Credentialing Program
• Monitor Expired licensure reporting , data base tasks and maintain system updates and weekly reporting to leadership
• Manage Epic access for any providers that have out of compliance licensure and/or board certification.
• Conduct sanctions and compliance monitoring and alert Credentialing Manager and Revenue Director of any undisclosed negative findings
• Process malpractice insurance verification requests according to internal policies
• Maintain the provider and physician SharePoint sites and Communicate provider status’s with leadership and other internal teams to meet timelines
• Submit system access requests upon credentialing approvals/clinic eligibility
• Support the payer enrollment team as needed to resolve any payer claim issues
• Monitor Provider and Clinic change/Termination reports and update data base accordingly
• Process Name changes according to Minute Clinic policies and procedures
• Daily maintenance of provider credentialing grids with notification to appropriate teams
• Review and distribute all incoming mail as needed
• Support Payer Audits in accordance with Minute Clinic, Joint Commission and NCQA requirements
• Maintain provider files with the most current information/documentation
• Notify system analyst and leadership of any system and state agencies interruptions/updates/password changes
• Make recommendations for process improvement and system efficiencies
• Attend and engage in all team meetings
• Model a positive attitude in interactions with team members

Required Qualifications:

• 6 months experience in credentialing and re-credentialing practices for medical professionals including primary source verification methods, compliance monitoring and expireables management.
• A minimum of 3 years experience in the healthcare industry.

Preferred Qualifications:

• Proficient in quantitative analysis
• Understanding of Joint Commission Accreditation, NCQA and URAC credentialing standards.
• Ability to function independently and utilize critical thinking skills to accomplish goals and objectives
• Effective communication skills; verbal and written
• Strong interpersonal skills including the ability to work well with internal and external stakeholders
• Strong organizational skills and the ability to multitask
• Competent user of Microsoft Office, Outlook, Word, and Excel
• NAMSS Certified Professional Credentialing Specialist (CPCS) certification

Education
Verifiable High School Diploma is required.
Associates or Bachelor in business preferred.

About NTT Data :

NTT DATA is a recognized leader in IT and business services, including cloud, data and applications, headquartered in Texas. As part of NTT DATA, a $30 billion trusted global innovator with a combined global reach of over 80 countries, we help clients transform through business and technology consulting, industry and digital solutions, applications development and management, managed edge-to-cloud infrastructure services, BPO, systems integration and global data centers. We are committed to our clients' long-term success. Visit nttdata.com or LinkedIn to learn more.

NTT DATA is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.

Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly range for this remote role is 16.37. This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on a number of factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications. This position may also be eligible for incentive compensation based on individual and/or company performance.