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Credentialing Coordinator

Hunterdon Health Care System

Flemington, NJJobNo compensation foundPosted 5mo agoSeen in employer's feed 5 days ago

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At a glance

Compensation
No compensation found
Location
Flemington, NJ
Work Authorization
Not specified

Job overview

Hunterdon Health Care System is hiring a Credentialing Coordinator. The Credentialing Coordinator provides administrative and clerical support, maintaining critical and confidential credentialing, privileging, provider enrollment, and peer review information. This role involves handling executive correspondence, ongoing professional performance evaluations (OPPE), and focused professional performance evaluations (FPPE). The coordinator must recognize and maturely handle various situations, often confidential or urgent.

Key focus areas include Dictate and transcribe Committee meetings, Assist with events, and Follow application processes.

Successful candidates bring High School Graduate and 1+ Years Credentialing. Important skills include PECOS, CAQH, Medicaid, NPPES, Customer Service, and Data Entry.

Skills & qualifications

RequiredNice to have

Skills

PECOSCAQHMedicaidNPPESCustomer ServiceData EntryTime ManagementDetail OrientationOrganizationGood JudgmentSelf MotivationMulti TaskingIndependent WorkProficient in Computer Software

Qualifications

High School Graduate or Equivalent1 Year Credentialing or Provider Enrollment ExperienceCertificate or Advanced Specialized or Technical Training in Medical Staff Services or Associate Degree2 Years Credentialing or Provider Enrollment ExperienceCertification by NAMSS as a Certified Provider Credentials Specialist (CPCS)Ability to Become CPCS Certified Within NAMSS Established Time Periods

Benefits

Medical Insurance
Dental Insurance
Vision Insurance
Paid Time Off
Tuition Assistance

Full job description

Position Summary

Provides general administrative and clerical tasks within the department and provides backup administrative support, if needed; maintains critical and confidential credentialing, privileging, provider enrollment and peer review information; executive correspondence; ongoing- professional, performance evaluations (OPPE); and focused professional performance evaluations (FPPE). Recognize and maturely handle a variety of situations, often of a confidential or urgent nature.

Primary Position Responsibilities

  1. Administrative Support - Dictate and transcribe Committee meetings, e.g. Credentialing Committee, Medical Executive Committee, General Medical Staff and other committees assigned by the Manager. Assistance with events, e.g., Doctors Day delivery of appreciation gifts. 2. Application Processing - Follow application processes, e.g. primary source verification, audit application for completeness, notify practitioner of any incomplete or outstanding documents, self file audits when application is completed. 3. Provider Enrollment - Follow processes for PECOS, CAQH, Medicaid, and NPPES processes. 4. Customer Service 5. Data Entry - Uploading documents, linking documents, etc 7. Unassigned Call Schedule -Update the unassigned On-Call Schedule as needed. This includes auditing the on-call schedule on a weekly basis.

Qualifications

Minimum Education:

Required:

High School Graduate or Equivalent

Preferred:

Certificate and/or Advanced Specialized or Technical Training in Medical Staff Services or Associate Degree

Minimum Years of Experience (Amount, Type and Variation):

Required:

One (1) year of credentialing or provider enrollment experience

Preferred:

Two (2) years of credentialing or provider enrollment experience.

License, Registry or Certification:

Preferred:

Certification by NAMSS as a Certified Provider Credentials Specialist (CPCS) or the ability to become certified within the time periods established by NAMSS from date of hire.

Knowledge, Skills and/or Abilities:

Required:

Ability to prioritize, work in a fast-paced environment; meet ongoing schedules and deadlines, detailed oriented, organized, good judgment, self motivated, ability to multi task and work independently. Proficient in the use of multiple computer software programs

Hunterdon Health is committed to providing a competitive benefit package to our employees. Benefit offerings vary based on status and may include but not be limited to medical, dental, vision, family forming, paid time off, tuition reimbursement, and retirement savings.

The hiring range listed is the potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement. When determining an applicant’s hourly rate and/or base salary, several factors may be considered as applicable (e.g., years of relevant experience, education, internal equity, and specialty).

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