Credentialing Coordinator

Company: Southeast Mississippi Rural Health Initiative Inc
Location: Hattiesburg
Posted on: May 3, 2021

Job Description:

Job Summary:Under the direction of the HR Manager, the Credentialing Specialist performs various tasks which relate to assisting management in the business operations of Southeast Mississippi Rural Health Initiative, Inc. The Credentialing Specialist will 1) obtain verification of and complete processing of providers certification in all areas applicable to that individual provider or facility; 2) complete credentialing documentation for all providers, centers and the corporation with regard to the credentialing process; 3) demonstrate knowledge and skills to appropriately communicate and interact with the staff, patients, families and visitors of all age groups while being sensitive to their cultural and religious beliefs.Job Responsibilities:Demonstrate positive personal attributes such as honesty, integrity and professionalism in all aspects of the jobAssist Administration in the preparation and distribution of reports, memos and other documents on a timely basisDemonstrate strong work ethic by display of attendance, punctuality and dedication to duty, including a willingness to travel and work extended/flexible hoursRequest and monitors credentialing requirement and deadlines for individual providers, each Health Center as well as the Corporation to meet requirements for insurance credentialing in a courteous and timely mannerAttend all mandatory in-service programs, staff meetings, staff development workshops, conferences and seminars as recommendedResponsible for updating credentialing information with the various insurance companies and databases, as well as Medicare and Medicaid as it is made available by the providers prior to each deadlineResponsible for the Re Credentialing of all facilities and billable Providers both LIP and Other provider typesResponsible for the construction and maintenance of Credentialing Hard copy file for all LIP, Other Provider and all facilitiesWork well with all center staff as a team playerResponsible for completing provider insurance applications in a timely mannerDemonstrate accurate ability to create and format letters, documents and other correspondence from verbal instructionAbility to construct, complete and maintain original forms and other documentationResponsible for the completion of the credentialing process for providers in a timely mannerAble to follow instructions with minimal supervisionProvide information or assistance to staff or patients when requested and transferring the assistance of that staff or patient to the appropriate personnel as the situation dictatesCoordinate with Human Resources Staff for coverage of telephone and reception areaResponsible for filing credentialing documentation in employee files in appropriate sections and in a timely mannerEnsures confidentiality of patient information and recordsDemonstrates sensitivity to cultural issues and a positive attitude when dealing with patients, colleagues and resource people from outside the centerMaintains prompt and regular attendance. Verify timecard at the end of each pay period.Performs related work as assigned. Job Requirements:High school diploma or GED with some college preferredGood typing, computer knowledge and working knowledge of all office/business machines and basic office proceduresExcellent communication and grammar skillsMinimum 3-5 years executive and/or administrative office experienceSome medical experience preferred but not requiredMinimum of 2-3 years of credentialing experience neededMust be able to multi-task while handling on-demand requests and deadline pressureMust be able to work without supervision while handling the workloadMust be able to make quick, correct decisions regarding staff when no one else is availableDemonstrate or and written communication skills including preparing reports, correspondence, and other documentationMust be able to determine situations of confidentiality when communicating with staff and outside agencies and be able to handle all situations in a diplomatic manner Physical and Other Requirements:Continuously listen, visualize and have dexterity and eye-hand coordinationMust frequently sit, squat, reach, use both right and left forearm rotation, walk and standOccasionally kneel, twist, have ability to grasp firmly, lift and carry, push and pull in excess of 10 lbs.

Keywords: Southeast Mississippi Rural Health Initiative Inc, Hattiesburg , Credentialing Coordinator, Other , Hattiesburg, Mississippi