Credentialing Coordinator - Revenue Cycle

Company: CHI Health
Location: Lincoln
Posted on: March 28, 2020

Job Description:

Position Type: RegularScheduled Hours per 2 week Pay Period: 80Primary Location: NE > LINCOLN > THE PHYSICIAN NETWORK Your time at work should be fulfilling. Rewarding. Inspiring. That's what you'll find when you join one of our non-profit CHI facilities across the nation. You'll find challenging, rewarding work every day alongside people who have as much compassion as you. Join us and together we'll create healthier, stronger communities. Imagine your career at Catholic Health Initiatives! Job Responsibilities Responsibility for credentialing and re-credentialing of Physicians, Advanced Practice Clinicians, Ancillary Providers and Facilities. Ensures optimum utilization of the managed care credentialing process through proactive coordination and tracking of all information in the credentialing files of all providers in CHI Health Partners as well as being responsible and accountable for maintenance of credentialing related information. Presents with positive and cooperative image with internal and external customers and contacts. Additional responsibilities for this health care role include: Manages credentialing and re-credentialing process for CHI Health Partners (CHP). Coordinates provider CHP packets and receipt of credentialing files from Med Staff Services. Develop, update and coordinate the implementation of Credentialing policies and procedures for approval by the Clinical Integrated Network (CIN) and final approval CIN Board, as needed. Ensures compliance and adherence to NCQA standards of function and responsibility relates to credentialing for CHP. Works with provider offices and facilities to attain correct information. Responsible for preforming verification by query to the National Practitioner Data Bank (NPDB), Office of Inspector General (OIG), System for Award Management (SAM), Medicare Opt Out and State Exclusions and Sanctions for Nebraska and Iowa. 7. Completes process of credentialing new providers by sending the welcome letter and contract. Runs new provider report to send to all managed care payer, recredentialed providers receive a letter showing the file is up to date. This all happens after they have been approved by the CIN Council and Board. 8. Coordinates and prepares for payer audits of CHP credentialing files for those networks which Delegate credentialing to CHP. Job Requirements High School diploma or equivalent required Associates degree in business or related field or equivalent. Combination of academic and/or professional experience required. Candidates without an Associate's Degree must possess 1-3 years related experience. Excellent research, verification skills and attention to detail. Ability to work with providers, office staff and hospital administrators. Proficient in word processing and excel spreadsheets. This individual must maintain strict confidentially, communicate effectively, and work independently. Join us at Catholic Health Initiatives, and become a part of our faith-based health system. Additional Information Requisition ID: 2020-R0280644 Schedule: Full-time Market: CHI Health

Keywords: CHI Health, Lincoln , Credentialing Coordinator - Revenue Cycle, Other , Lincoln, Nebraska