Note: The job is a remote job and is open to candidates in USA. Cardinal Health is a leading healthcare services and products company, and they are seeking a Coordinator for Managed Care Credentialing. This role is responsible for ensuring active credentialing and enrollment status with contracted payors and maintaining licensure for all groups and providers.
Responsibilities
• Responsible for documenting and tracking all credentialing/enrollment, re-credentialing/re-enrollment, and hospital privileging activities within the credentialing platform
• Maintain and monitor all licenses and certifications in the credentialing platform to ensure compliance within all regions
• Participate in training sessions and special projects such as learning new system workflows, completing required training, and adopting updated processes within established timeframes
• Coordinate provider enrollment activities (including initial enrollments or re-credentialing) for all groups and providers
• Ensure all facility and provider licenses and certifications are accurate and in good standing at all times
• Complete all forms and supporting documents required to obtain hospital privileges for physicians, as necessary
• Ensure that all processing and reporting deadlines are consistently achieved
• Meet regularly with Credentialing Supervisor and other team members to provide updates on progress and status of credentialing and enrollment matters
• Performs any other functions as required by management
Skills
• At least three (3) years of experience of credentialing or payer enrollment experience in a managed care or provider setting, including experience using a credentialing database
• Specific knowledge of the payer environment and payer issues
• Ability to work a flexible schedule (including overtime, and weekends), as necessary
• Excellent customer service and communication skills
• Ability to work independently and as part of a team
• Working experience with Excel spreadsheets and Microsoft Word documents
• College degree or commensurate working experience in healthcare
• Knowledge of basic medical terminology
• Credentialing database experience (such as IntelliCred, E-Vips, Vistar, Cactus, Symed, etc.)
Benefits
• Medical, dental and vision coverage
• Paid time off plan
• Health savings account (HSA)
• 401k savings plan
• Access to wages before pay day with myFlexPay
• Flexible spending accounts (FSAs)
• Short- and long-term disability coverage
• Work-Life resources
• Paid parental leave
• Healthy lifestyle programs
Company Overview
• Cardinal Health is a manufacturer and distributor of medical and laboratory products. It was founded in 1971, and is headquartered in Dublin, Ohio, USA, with a workforce of 10001+ employees. Its website is https://www.cardinalhealth.com.