What are the responsibilities and job description for the Insurance Credentialing Coordinator (Part-Time) position at Piedmont Health Services Inc?
About Piedmont Health Services
Piedmont Health Services, Inc. (PHS) is a 501(c)(3) nonprofit and Federally Qualified Health Center (FQHC) in North Carolina. Dedicated to delivering top-tier, accessible, and inclusive primary healthcare, PHS has proudly served for 54 years and remains the largest community health center in central NC. Operating 10 Community Health Centers, two PACE (Program of All-Inclusive Care for the Elderly) SeniorCare facilities, and 2 Mobile Health Units, PHS extends its services to residents across five counties, including Alamance, Caswell, Chatham, Orange, and Lee.
What's an FQHC?
Federally Qualified Health Centers (FQHC) are community-based healthcare providers that receive funds from the Health Resources and Services Administration (HRSA) Health Center Program to provide primary care services in under-served areas.
Job Title - Insurance Credentialing Coordinator
Department - Revenue Cycle Department
Reports to - Insurance Credentialing Manager
About Position
The Insurance Credentialing Coordinator is responsible for assisting with maintaining and resolving issues related to insurance credentialing and enrollment for all LIPs (Licensed Independent Practitioners), MD, OD, PA, FNP, DDS, DMD, RD, LCSW, etc. Will assist with re-credentialing all LIPs with various insurance carriers that PHS is contracted with. This position will assist with maintaining and resolving issues with insurance companies regarding malpractice insurance. Responsible for maintaining guidelines outlined by The Joint Commission Standards, all insurance companies and their affiliates. Assist with updating and maintain in house credentialing database(s) as well as local and national credentialing databases such as NC Tracks, PECOS, CAQH, etc. Performs other duties as assigned.
Qualifications -
Education: High School Diploma or equivalent; 3 or more years' experience working in healthcare, preferably in insurance
Preferred: Position requires good organizational skills, understanding of computer systems applications in insurance claims processing, knowledge of cost-based reimbursement, knowledge of medical diagnosis and procedure codes, ability to develop and conduct staff training, understanding of managed care concepts and the ability to communicate effectively in oral and written forms. Ability to work independently and meet datelines in a timely manner.
Immunizations: All PHS standard employee immunizations.
Pay Range: $16.43 - $20.20
EEO Statement
Piedmont Health Services, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to sex, sex stereotyping, pregnancy (including pregnancy, childbirth, and medical conditions related to pregnancy, childbirth, or breastfeeding), race, color, religion, ancestry or national origin, age, disability status, medical condition, marital status, sexual orientation, gender, gender identity, gender expression, transgender status, protected military or veteran status, citizenship status, genetic information, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
Piedmont Health Services, Inc. (PHS) is a 501(c)(3) nonprofit and Federally Qualified Health Center (FQHC) in North Carolina. Dedicated to delivering top-tier, accessible, and inclusive primary healthcare, PHS has proudly served for 54 years and remains the largest community health center in central NC. Operating 10 Community Health Centers, two PACE (Program of All-Inclusive Care for the Elderly) SeniorCare facilities, and 2 Mobile Health Units, PHS extends its services to residents across five counties, including Alamance, Caswell, Chatham, Orange, and Lee.
What's an FQHC?
Federally Qualified Health Centers (FQHC) are community-based healthcare providers that receive funds from the Health Resources and Services Administration (HRSA) Health Center Program to provide primary care services in under-served areas.
Job Title - Insurance Credentialing Coordinator
Department - Revenue Cycle Department
Reports to - Insurance Credentialing Manager
About Position
- Work Location: 88 Vilcom Center Dr., Suite 110, Chapel Hill, NC 27514
- Schedule: Tuesday through Thursday, 8:00am to 5:00pm
- Travel: N/A
The Insurance Credentialing Coordinator is responsible for assisting with maintaining and resolving issues related to insurance credentialing and enrollment for all LIPs (Licensed Independent Practitioners), MD, OD, PA, FNP, DDS, DMD, RD, LCSW, etc. Will assist with re-credentialing all LIPs with various insurance carriers that PHS is contracted with. This position will assist with maintaining and resolving issues with insurance companies regarding malpractice insurance. Responsible for maintaining guidelines outlined by The Joint Commission Standards, all insurance companies and their affiliates. Assist with updating and maintain in house credentialing database(s) as well as local and national credentialing databases such as NC Tracks, PECOS, CAQH, etc. Performs other duties as assigned.
Qualifications -
Education: High School Diploma or equivalent; 3 or more years' experience working in healthcare, preferably in insurance
Preferred: Position requires good organizational skills, understanding of computer systems applications in insurance claims processing, knowledge of cost-based reimbursement, knowledge of medical diagnosis and procedure codes, ability to develop and conduct staff training, understanding of managed care concepts and the ability to communicate effectively in oral and written forms. Ability to work independently and meet datelines in a timely manner.
Immunizations: All PHS standard employee immunizations.
Pay Range: $16.43 - $20.20
EEO Statement
Piedmont Health Services, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to sex, sex stereotyping, pregnancy (including pregnancy, childbirth, and medical conditions related to pregnancy, childbirth, or breastfeeding), race, color, religion, ancestry or national origin, age, disability status, medical condition, marital status, sexual orientation, gender, gender identity, gender expression, transgender status, protected military or veteran status, citizenship status, genetic information, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
Salary : $16 - $20
