[Hiring] Credentialing Coordinator @Health Care Service Corporation

Role Description

This position is responsible for ensuring professional and facility providers applying for initial or ongoing network participation are credentialed or recredentialed in a timely and appropriate manner for presentation to the medical director and/or credentialing committee. This position will also ensure documentation for those providers approved for network participation is current at time of the committee determination. This person will also be responsible for ongoing monitoring of providers.

Qualifications

• High school diploma or GED.
• 3 years business experience. A combination of college level education and experience will be considered.
• 1 year Credentialing OR Quality audit experience.
• Clear and concise interpersonal, verbal and written communication skills to facilitate the learning process; coaching and mentoring skills.
• Experience with multi-tasking and adhering to tight timelines.
• PC experience in Windows, Word, Excel, Access, and other business related/associated databases.
• Demonstrated analytical and organizational skills.
• Knowledge of Managed Care products, programs, and services.

Requirements

• Previous experience in oversight of credentialing/credentialing committee - HIGHLY PREFERRED.
• 2 years of college courses in Business or Medical field.
• Project Management experience.
• Knowledge of Microsoft Suite tools (Windows, Word, Excel, Access, Adobe, PowerPoint, etc).
• Sponsorship will not be provided for this role.
• This is a Telecommute (Remote) role.

Benefits

• Health and wellness benefits.
• 401(k) savings plan.
• Pension plan.
• Paid time off.
• Paid parental leave.
• Disability insurance.
• Supplemental life insurance.
• Employee assistance program.
• Paid holidays.
• Tuition reimbursement.
• Other incentives.

Company Description

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards .