Job Title: Credentialing Coordinator
Department: Operations - Credentialing
About the Role:
The Credentialing Coordinator is responsible for all aspects of credentialing and re-credentialing of health care professionals.
This position ensures all health care professionals are appropriately credentialed, which includes the responsibility of maintaining current information on file and within the credentialing database.
This position primarily works independently, but frequently coordinates with other internal and external team members.
What You'll Do:
Sending credentialing applications to newly contracted providers and to providers undergoing re-credentialing
Screening Initial and Recredentialing Practitioner and HDO applications
Process initial and reappointment credentialing applications and conduct follow up as needed
Timely review and response for inquiries sent to assigned Credentialing Department mailbox
Maintain provider state licenses, DEA certificates, malpractice insurance and any other required credentialing documents
Weekly distribution of status reports to internal departments and the managed groups
Prepare and submit reports weekly, monthly, quarterly and semi-annually to contracted Health Plans
Assist Credentialing Specialist as needed with initial and reappointment credentialing applications and conduct timely follow up as needed
Monitor monthly board findings and all other state sanctions
Input all credentialing data into credentialing software database accurately and timely
Responsible for organizing digital credentialing files and document
Qualifications:
Ability to work with multiple projects and deadlines
Excellent written and verbal communication skills
Detail oriented and possess strong organizational skills in a fast-pace environment
Basic knowledge of credentialing standards outlined by Joint Commission and/or NCQA
Minimum typing of 45 WPM
High School Diploma
1+ years’ experience with provider credentialing in a managed care, hospital or CVO setting is required
You're great for this role if:
You have a BA/BS degree
Who We Are:
ApolloMed (NASDAQ: AMEH) is a physician-centric, technology-powered healthcare management company.
We are building and operating a novel, integrated, value-based healthcare delivery platform to empower our physicians to provide the highest quality of end-to-end care for their patients in a cost-effective manner.
Our mission is to combine our clinical experience, best-in-class delivery network, and technological expertise to improve patient outcomes, increase access to healthcare, and make the US healthcare system more efficient.
Our platform currently empowers over 10,000 physicians to provide care for over 1.
2 million patients nationwide.
Our rapid growth and unique position at the intersection of all major healthcare stakeholders (payer, provider, and patient) gives us an unparalleled opportunity to combine clinical and technological expertise to improve patient outcomes, increase access to quality healthcare, and reduce the waste in the US healthcare system.
Our Values:
Put Patients First
Empowering Entrepreneurial Provider and Care Teams
Operate with Integrity & Excellence
Be Innovative
Work As One Team
Team of One
Environmental Job Requirements and Working Conditions:
Our organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis.
The office is located at 1600 Corporate Center Drive, Monterey Park, CA 91754.
The total compensation target pay rate for this role is between $18.
00 - $25.
00 per hour.
This salary range represents our national target range for this role.
ApolloMed is proud to be an Equal Employment Opportunity and Affirmative Action employer.
We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
All employment is decided on the basis of qualifications, merit, and business need.
If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@networkmedicalmanagement.
com to request an accommodation.
Additional Information:
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change
Whatsapp
