Description
Orthopaedic Associates is a fast-paced, 14-physician orthopaedic practice with four practice locations in Evansville and Newburgh, IN and Henderson, KY. We are currently seeking a Credentialing Coordinator to join our team. This would be a full-time position and would be benefits eligible. We are closed on the six major holidays and new employees are eligible for holiday pay and insurance after completing their first 60 days of employment. We also offer a lucrative PTO plan and 401k with a matching component. This position would be required to work from any of our practice locations. Hours are generally Monday - Friday, 8am - 4:30pm. We also offer a modified schedule, working 9 hours four days a week and one 4 hour shift once per week.
The Credentialing Coordinator will be responsible for all aspects of the credentialing, recredentialing and privileging process for all providers, clinical staff and office locations at Orthopaedic Associates as well as payer credentialing. The Credentialing Coordinator will ensure all licensure and credentialing applications and forms are completed accurately, thoroughly and timely. The Credentialing Coordinator will be responsible for managing all credentialing documents and files in a confidential manner.
ESSENTIAL DUTIES AND RESPONSIBILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Maintain accurate and up-to-date files and data for all providers
- Complete credentialing and recredentialing applications and follow up as needed
- Track license and certification expirations for all providers and manage renewals
- Ensure practice locations and current providers are accurate with health plans, hospitals, and other entities
- Gather all information necessary to process information received from providers to support the credentialing process.
- Maintain all additions, terminations, and changes to all health plans as appropriate.
- Verify and respond to inquiries from other departments regarding provider participation and credentialing status.
- Maintain staff and patient confidentiality in compliance with company policies and procedures
Requirements
High school diploma, or GED certificate required. Associate or bachelor’s degree from accredited college/university preferred. Healthcare experience and knowledge of credentialing process preferred.
- Excellent attention to detail and strong organizational skills
- Understanding of and experience with insurance billing
- Proficiency with computers
- Ability to multitask and work in a fast paced environment
- Pleasant and cheerful attitude and ability to establish effective working relationships with providers, management, and contacts outside the organization
- Effective communication skills