What are the responsibilities and job description for the Credentialing Coordinator position at Forefront Dermatology?
Come join our team! We have an immediate need for a Credentialing Coordinator. If you are ready to make an impact every day, and thrive in a fast-paced environment, then a career at Forefront may be the perfect fit for you!
Summary:
The Credentialing Coordinator is responsible for ensuring that all credentialing and provider enrollment processes for Physicians and Mid-Levels are completed in an accurate, timely manner and all existing Physician and Mid-Level credentials are renewed and current.
Here are just a few things we offer:
Access to health, dental, and vision insurance
Eligible for PTO and Holiday pay
Company paid life insurance and long term disability
Access to voluntary short term disability insurance and additional life insurance
401K with employer contribution
Profit sharing
Employee discounts
And much more!
Responsibilities
Essential Functions:
Complete enrollment packets for providers including preparing applications, follow up phone calls, faxing information, sending letters, acquiring signatures, etc. to secure the needed information
Thoroughly document all tasks and communications
Keep track of the status of each application (i.e. what information is missing, what steps have been taken to retrieve such information)
Serve as the liaison between providers and payers to ensure the appropriate information is submitted and processed timely
Communicate with provider by phone or via email and serve as a direct contact with provider regarding their enrollment status/issues/concerns
Scan and enter information/documentation into credentialing system
Maintain provider records and files with accuracy
Track and follow up on provider documents that are set to expire including state licensure, DEA, CSR, malpractice insurance, etc.
Independently research and resolve enrollment issues regarding payers
Handle all re-credentialing requests from hospitals (staff affiliations) and payers
Qualifications
Education:
High School Diploma or equivalent is required, Bachelor’s degree in business or a related field is preferred
Knowledge, Skills & Abilities:
Maintain strict confidentiality and follow government confidentiality regulations
Work independently, yet function within a team approach, with minimal supervision
Organize and set work priorities, work under pressure, and meet deadlines
Skilled in establishing, monitoring and maintaining a system of records, software programs, databases and reports
Must have excellent attention to detail and follow-through skills
Strong professional communication skills, both written and verbal; communicates effectively with others in person and over the phone
Solid computer skills, specifically Microsoft Word, Excel and Adobe Acrobat 9 or higher required; SyMed/Echo OneApp Pro knowledge preferred
