What are the responsibilities and job description for the Credentialing Coordinator position at US Tech Solutions?
Duration: 6 months contract
Responsibilities:
- Responsible for the timely and accurate processing of all providers including NP’s/PA’s/MD’s Re-credentialing applications according to the 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.
- Analyst will work directly with other coordinators to ensure quality of work delivered, performance/productivity benchmarks are met, and all compliance related issues are properly addressed, trained and coached on a consistent basis.
- Conduct sanctions and compliance monitoring and alert Data Analyst Manager and Credentialing Manager of any undisclosed negative findings
- Process malpractice insurance verification requests according to internal policies when applicable
- 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 client 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 client, 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
Experience:
- Demonstrated understanding of initial credentialing and re-credentialing practices for medical professionals including primary source verification methods, compliance monitoring and expireable management.
- 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
- Competent user of Microsoft Office, Outlook, MDStaff, Word, and Excel
- A minimum of 3 years experience in the healthcare industry with experience in credentialing
Education:
- Associate or Bachelors Degree required
About US Tech Solutions:
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com.
US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Recruiter Details:
Name: Shanu
Email: shanu@ustechsolutionsinc.com
Internal Id: 25-33938
Salary : $25 - $27
