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Credentialing Coordinator - Remote

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Trinity Health

14d ago

  • Job
    Full-time
    Junior Level
  • People, HR & Administration
    Healthcare
  • Hartford

AI generated summary

  • You need an Associate's degree or equivalent, 2 years of credentialing and healthcare billing experience, and proficiency in Microsoft Office and CAQH software.
  • You will manage credentialing applications, track progress, ensure provider information is complete, lead enrollment processes, and complete payer tasks in EPIC.

Requirements

  • Associates Degree or equivalent experience preferred. Affiliation with Professional Credentialing Associations desirable
  • Minimum two (2) years Credentialing experience required
  • Minimum two (2) years Health Care billing experience required
  • Working knowledge of Microsoft Office software and knowledge of CAQH software is essential

Responsibilities

  • Complete applications in a timely manner and according to specific requirements with current provider/group information
  • Track progress and notify external/internal customers as appropriate to ensure expeditious completion of provider credentialing
  • Ensure complete and updated provider certifications, licensure, insurances, privileges, malpractice histories, and all other pertinent information
  • Lead the processes and functions of credentialing and provider enrollment
  • Alert internal and external parties on credentialing and provider enrollment process, to support the timely, accurate and complete credentialing, re-credentialing and enrollment of all THOfNE employed/contracted physicians and midlevel providers
  • Complete payer enrollment tasks in EPIC
  • Any other tasks as assigned

FAQs

What is the employment type for the Credentialing Coordinator position?

The employment type for the Credentialing Coordinator position is full-time.

What is the shift schedule for this role?

The shift schedule for this role is the day shift, Monday through Friday.

What are the minimum qualifications required for this position?

The minimum qualifications required include an Associate's Degree or equivalent experience (affiliation with professional credentialing associations is desirable), a minimum of two years of credentialing experience, and a minimum of two years of healthcare billing experience.

Is knowledge of specific software required for this position?

Yes, a working knowledge of Microsoft Office software and knowledge of CAQH software is essential for this position.

What are some key responsibilities of the Credentialing Coordinator?

Key responsibilities include completing applications in a timely manner, tracking progress of credentialing, ensuring complete provider information is up to date, leading credentialing processes, and completing payer enrollment tasks in EPIC.

What benefits are offered to the Credentialing Coordinator?

Benefits include great health insurance coverage starting Day One, full-time hours, career growth and advancement potential, and employment with award-winning hospitals and departments.

What type of healthcare system is Trinity Health Of New England?

Trinity Health Of New England is one of the largest not-for-profit, Catholic healthcare systems in the nation.

How does Trinity Health Of New England approach diversity and inclusion?

Trinity Health is committed to integrating diversity, equity, and inclusion in all that they do, recognizing that a diverse workforce provides the most accessible and equitable care for patients.

Is there a specific location for this position?

The position is remote, but it is part of a group serving patients in Connecticut and western Massachusetts.

What types of roles does the team consist of?

The team consists of primary care providers, specialists, and surgeons serving patients across various care settings including primary care, specialty care, surgery, urgent care, rehabilitation, and imaging and lab services.

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Trinity Health

We are one of the largest not-for-profit, faith-based health care systems in the nation.

Science & Healthcare
Industry
10,001+
Employees

Mission & Purpose

Trinity Health is one of the largest not-for-profit, Catholic health care systems in the nation. It is a family of 123,000 colleagues and nearly 27,000 physicians and clinicians caring for diverse communities across 26 states. Nationally recognized for care and experience, the Trinity Health system includes 88 hospitals, 135 continuing care locations, the second largest PACE program in the country, 136 urgent care locations and many other health and well-being services. Based in Livonia, Michigan, its annual operating revenue is $21.5 billion with $1.4 billion returned to its communities in the form of charity care and other community benefit programs.