Job Information
ProMedica Health System Credentialing Coordinator - Central Verification - Full Time in Toledo, Ohio
The Credentialing Coordinator responsibilities include, but are not limited to compiling credentialing information, processing applications, payer enrollment requests and inquiries for professional billing and maintaining accurate information in the credentialing database.
ACCOUNTABILITIES
All duties listed below are essential unless noted otherwise
Ensures credentialing applications are completed accurately according to accreditations and regulations.
Gathers, verifies, and maintains all credentialing information and ensures accurate entry into the credentialing database in a timely manner for both initial and re-credentialing applications.
Works with various contracted payers to complete and maintain accurate enrollments for physicians and advanced practice providers (APPs) for professional billing reimbursement.
Ensures enrollment information is completed and entered into the credentialing database accurately and timely.
Develops reports for monitoring, tracking, and reviewing various information for accuracy and timeliness for completion.
Makes decisions and recommendations based on complex and sensitive issues often based on limited information.
Possesses strong communication, listening, observation and persuasion skills.
Possesses strong organizational skills and the ability to handle multiple priorities. Must organize workload to meet constant deadlines.
Other duties as assigned.
Pay Range- min- $15.00 mid- $23.00 max- $32.00 Education: High School diploma or equivalent
Skills: Must have strong communication, listening, observation and persuasion skills. Must have strong organizational skills and the ability to handle multiple priorities. Must organize workload to meet constant deadlines. Must be able to problem solve.
Years of Experience: 2 years
Prior experience in medical staff and/or payer credentialing. Familiar with insurance contracts. Proficient with Microsoft products (Word, Outlook, Excel, etc.). Familiar with Adobe
The above list of accountabilities is intended to describe the general nature and level of work performed by the incumbent; it should not be considered exhaustive.
ProMedica is a mission-based, not-for-profit integrated healthcare organizational headquartered in Toledo, Ohio. For more information, please visit www.promedica.org/about-promedica
Qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, religion, sex/gender (including pregnancy), sexual orientation, gender identity or gender expression, age, physical or mental disability, military or protected veteran status, citizenship, familial or marital status, genetics, or any other legally protected category. In compliance with the Americans with Disabilities Act Amendment Act (ADAAA), if you have a disability and would like to request an accommodation in order to apply for a job with ProMedica, please contact employment@promedica.org
Equal Opportunity Employer/Drug-Free Workplace
Requisition ID: 90046