Credentialing Coordinator

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#TalentHC
Position: Credentialing Coordinator
Pay: $18-$21
Hours: 8-5
Location: Fort Worth, TX
Responsibilities:
Credential and re-credential new Physicians, existing Physicians, and Allied Health Professionals with necessary hospitals and health plans
Determine applicant’s eligibility for membership/participation
Gather all required documents, identify potential issues; determine if further investigation or information is necessary and make appropriate inquiries
Obtain and evaluate information from primary sources
Analyze application and supporting documents for completeness according to accreditation and regulatory standards
Compile, log, and submit the practitioner-specific data collected and assembled during the application process
Regularly follow-up and provide response to queries from entities to assist them in completing the credentialing process until approval
Coordinate orientations and EMR systems trainings, as applicable
Maintain regular reports and communications with company management, providers, and employees regarding network participation status and credentialing/contracting decisions
Audit and preserve credentials files and records according to our policy and procedures
Ensure all provider TSCAs, licenses, and certificates are current while consistently keeping hospitals and MCOs up to date with these provider documents
All other duties as assigned by manager/supervisor
Requirements:
1-2 years’ experience in a Credentials Verification Office, Medical Staff Services Office, or medical practice setting
Ability to manage multiple priorities, projects, and display flexibility in a fast-paced and challenging work environment
Proficiency in MS Office Suite i.e. Word, Excel, etc.
Strong verbal and written communication skills

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