Credentialing Coordinator

Employment Type:

Full time

Shift:

Day Shift

Description:

Position Purpose:

The Credentialing Coordinator is responsible for performing credentialing and provider enrollment for all new and existing providers with appropriate entities including insurance companies, hospitals, nursing facilities, external agencies, etc.

What you will do:

• 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

Minimum Qualifications:

• 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

Position Highlights and Benefits:

• Full time 40 hours Mon-Fri days

• Great Benefits and Health Insurance Coverage-starting Day One!

• Career growth and advancement potential

• Award-winning Hospitals and Departments

Ministry/Facility Information:

We are a group of primary care providers, specialists and surgeons serving patients in Connecticut and western Massachusetts. Part of Trinity Health Of New England, we offer primary care, specialty care, surgery, urgent care, rehabilitation, and imaging and lab services for thousands of patients every year.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.