Credentialing Coordinator Jobs

Term of Employment

• This position is hybrid, however, after 2-4 weeks of training, the position will be mostly remote.
• This position is full-time, 40 hours per week.
• Contract-to-Hire, 6 months
• Local candidate to only, in person training will be required at the office is located in Columbia, MD and occasional onsite meetings. The schedule for training has not been set.
• Fixed Schedule: 8:30 AM - 5:15 PM

Overview

Our client is seeking additional Credentialing Analysts to join their Provider Data Accuracy Team to support maintaining their Provider files as a result of a mandate put in place last year. This role will accurately maintain all Provider data (including addresses, names changes, etc) within the enterprise-wide Provider file while ensuring compliance with regulatory, accreditation, legal and company requirements and standards. An ideal candidate would have a background in healthcare and/or healthcare insurance claims with the ability to process updates and changes accurately and efficiently with a two-day turnaround time. This role also requires the ability to handle outbound communication to the Providers via phone calls and/or emails any additional data or information that is needed.

Required Skills & Experience

• Must be able to effectively work in a fast-paced environment with frequently changing priorities, deadlines, and workloads that can be variable for long periods of time.
• Previous healthcare / healthcare insurance experience - this can include enrollment, claims, managed care operations and/or customer service.
• Microsoft Office Suite including: Outlook, Teams, Word and Excel
• Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence.
• Knowledge of medical terminology.
• Excellent verbal and written communication and interpersonal skills.
• Data entry experience and ability to handle quick turnaround times.
• Ability to develop and maintain effective relationships with peers, physicians, and medical staff to create confidence, respect and dependability.

Preferred Skills & Experience

• Bachelor’s Degree in Business, Healthcare Administration or related field
• 3+ year of physician credentialing experience or health insurance/managed care operations experience in customer service, claims, and enrollment.
• Certified Provider Credentialing Specialist (CPCS)
• Salesforce experience