Overview Come join our team! We have an immediate need for a Credentialing Coordinator at our Manitowoc Headquarters! 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 Forefront will never request personal information, such as your social security number or banking information, via text or email. In addition, Forefront does not use external messaging applications such as WireApp or Skype to communicate with candidates. If you receive communication or requests of this nature, delete them.
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