What are the responsibilities and job description for the Credentialing Coordinator - CIN position at Trinity Health Of New England?
Position Purpose
The Credentialing Coordinator is responsible for performing credentialing and provider enrollment for all new and existing providers who are members of Trinity’s Clinically Integrated Network with appropriate entities including insurance companies, hospitals, nursing facilities, external agencies, etc.
What you will do
- Complete applications in a timely manner and according to specific requirements with current provider/group information
- Research new plans and how to enroll providers with them as needed.
- Track progress and notify external/internal customers as appropriate to ensure expeditious completion of provider credentialing.
- Ensure complete and updated provider certifications, licensure, insurances, privileges, malpractice histories, and all other pertinent information.
- Facility Credentialing for Trinity practices and facilities.
- Lead the processes and functions of credentialing and provider enrollment.
- Alert internal and external parties on credentialing and provider enrollment process, to support the timely, accurate and complete credentialing, re-credentialing and enrollment of all THOfNE CIN employed/contracted physicians and midlevel providers.
- Travel to community practices to gather information and provide enrollment guidance when needed across Connecticut and Massachusetts
- Supports delegated credentialing
- Any other tasks as assigned.
Minimum Qualifications
- Associates Degree or equivalent experience preferred. Affiliation with Professional Credentialing Associations desirable
- Minimum two (2) years Credentialing experience required
- Minimum two (2) years Health Care billing experience required
- Working knowledge of Microsoft Office software and knowledge of CAQH software is essential
Position Highlights and Benefits
- Full time 40 hours Mon-Fri days
- Great Benefits and Health Insurance Coverage—starting Day One!
- Career growth and advancement potential
- Award-winning Hospitals and Departments
Ministry/Facility Information
We are a group of primary care providers, specialists and surgeons serving patients in Connecticut and western Massachusetts. Part of Trinity Health Of New England, we offer primary care, specialty care, surgery, urgent care, rehabilitation, and imaging and lab services for thousands of patients every year.
Our Commitment to Diversity and Inclusion
Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.
