One stop solution to your remote job hunt!
By signing up you get access to highly customizable remote jobs newsletter, An app which helps you in your job hunt by providing you all the necessary tools.
Credentialing Coordinator
locations
US-Remote
time type
Full time
job requisition id
R0017443
At GenesisCare we want to hear from people who are as passionate as we are about innovation and working together to drive better life outcomes for patients around the world.
The Credentialing Coordinator is responsible for completing the Managed Care Credentialing/Recredentialing applications in a timely and accurate fashion. The Coordinator is responsible for follow-up to ensure that the physician is enrolled on the contracted managed care plans.
Your Key Responsibilities:
- Responsible for creating Physician Reference Guides (PRG) in the department’s Access Credentialing Database for new physicians.
- Responsible for CAQH on-line credentialing set up and maintenance efforts.
- Accurate and timely submission of Managed Care Credentialing & Recredentialing applications for physicians and paraprofessionals.
- Timely follow-up phone calls & documentation on a monthly basis to verify that credentialing applications have been received, until effective date is obtained.
- Composing email notifications regarding participation effective dates for providers to appropriate market contacts, office & billing staff members.
- Responsible for developing and updating Contract Summary Sheets with physician effective dates.
- Responsible for requesting expired information for providers on a monthly basis to keep credentialing up to date.
- Responsible for updating the Recredentialing portion of the database and auditing plans quarterly to ensure all recredentialing efforts are current.
- Updating Managed Care Monthly (MCM) Updates with provider’s effective dates.
- Notifying Managed Care plans regarding practice changes such as add/term locations & add/term providers and completing monthly follow up phone calls & documentation on open requests, until process is complete.
- Assist other departments with credentialing and contracting issues as it pertains to claims.
- Other duties as assigned.
Minimum Qualifications:
- Must have a High School Diploma or equivalent.
- Applicant must have credentialing experience in a physician office or health plan environment.
- Advanced Excel Skills and proficient in MS Office.
Preferred Qualifications:
- Experience working with Access.
About GenesisCare:
Across the world, we have more than 440 centers offering the latest treatments and technologies that have been proven to help patients achieve the best possible outcomes. For radiation therapy, that includes over 130 centers in the U.S. as well as 14 centers in the U.K., 21 in Spain and 36 in Australia. We also offer urology and pulmonology care in the U.S. in over 170 integrated medical offices. Every year our team sees more than 400,000 people globally.
Our purpose is to design care experiences that get the best possible life outcomes. Our goal is to deliver exceptional treatment and care in a way that enhances every aspect of a person’s cancer journey.
Joining the GenesisCare team means a commitment to seeing and doing things differently. People centricity is at the heart of what we dowhether that person is a patient, a referring doctor, a partner, or someone in our team. We aim to build a culture of care’ that is patient focused and performance driven.
GenesisCare is an Equal Opportunity Employer that is committed to ersity and inclusion.
#LI-BR1
#LI-Remote
GenesisCare is an Equal Opportunity Employer.