Credentialing Coordinator - Revenue Cycle
Company: Catholic Health Initiatives
Posted on: March 28, 2020
Credentialing Coordinator - Revenue CycleLocation: LINCOLN,
NEBRASKA, UNITED STATESNew Requisition #: 2020-R0280644Post Date: 7
hours agoPosition Type: RegularScheduled Hours per 2 week Pay
Period: 80Primary Location: NE > LINCOLN > THE PHYSICIAN
NETWORKYour time at work shouldbe fulfilling. Rewarding.Inspiring.
Thats what youll find when you join one of our non-profit
CHIfacilities across the nation. Youll find challenging, rewarding
work every dayalongside people who have as much compassion as you.
Join us and together wellcreate healthier, stronger communities.
Imagine your career at Job ResponsibilitiesResponsibility for
credentialing and re-credentialing of Physicians, AdvancedPractice
Clinicians, Ancillary Providers and Facilities. Ensures
optimumutilization of the managed care credentialing process
through proactivecoordination and tracking of all information in
the credentialing files of allproviders in CHI Health Partners as
well as being responsible and accountablefor maintenance of
credentialing related information. Presents with positiveand
cooperative image with internal and external customers and
contacts.Additional responsibilities for this health care role
- Managescredentialing and re-credentialing process for CHI
Health Partners (CHP).
- Coordinatesprovider CHP packets and receipt of credentialing
files from Med StaffServices.
- Develop,update and coordinate the implementation of
Credentialing policies andprocedures for approval by the Clinical
Integrated Network (CIN) and finalapproval CIN Board, as
- Ensurescompliance and adherence to NCQA standards of function
and responsibilityrelates to credentialing for CHP.
- Workswith provider offices and facilities to attain correct
- Responsiblefor preforming verification by query to the National
Practitioner Data Bank(NPDB),
- Office of Inspector General (OIG), System forAward Management
(SAM), Medicare Opt Out and State
- Exclusions and Sanctions for Nebraska andIowa.
- 7. Completes process of credentialing newproviders by sending
the welcome letter and contract. Runs new provider reportto send to
all managed care payer, recredentialed providers receive a
- showingthe file is up to date. This all happens after they have
been approved by theCIN Council and Board.
- 8. Coordinates and prepares for payer auditsof CHP
credentialing files for those networks which
- Delegatecredentialing to CHP. Job RequirementsHigh School
diploma orequivalent required Associates degree in business or
related field orequivalent. Combination of academic and/or
professional experience required.Candidates without an Associates
Degree must possess 1-3 years relatedexperience.Excellentresearch,
verification skills and attention to detail. Ability to work
withproviders, office staff and hospital administrators. Proficient
in wordprocessing and excel spreadsheets. This individual must
maintain strictconfidentially, communicate effectively, and work
independently.Join us at Catholic Health Initiatives, and become a
part of ourfaith-based health system. Additional Information
- Requisition ID: 2020-R0280644
- Schedule: Full-time
- Market: CHI Health About UsWe are excited to share that CHI was
named as one of Americas Best Employers 2019, by Forbes.
Clickhereto learn more.Chances are, youre here because youre
looking for a career offering greater opportunity, challenge and
fulfillment. Were confident youll find all three at CHI. As one of
the nations largest nonprofit health systems, we offer a wealth of
careers across more than 101 hospitals in 18 states. Our
faith-based health system welcomes you to share in our mission of
building healthier communities, whether as a surgeon in the
operating room or an administrator in a conference room. When you
work in a supportive environment with like-minded professionals,
wonderful things happen. Learn MoreEqual Opportunity
EmploymentConsistent with our Core Values, Catholic Health
Initiatives employers are EEO/AA/M/F/Vets/Disabled Employers.
Qualified applications will receive consideration for employment
without regard to their race, color, religion, national origin,
sex, sexual orientation, gender identification, protected veteran
status, disability or any other legally protected
Keywords: Catholic Health Initiatives, Lincoln , Credentialing Coordinator - Revenue Cycle, Other , Lincoln, Nebraska
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