Credentialing Coordinator in Saint Louis, MO

Company: Global Medical Response
Location: Saint Louis
Posted on: November 23, 2020

Job Description:

CREDENTIALING COORDINATOR IN SAINT LOUIS, MO

Requisition ID

2020-11586

Location

US-MO-Saint Louis

Employment Type

Regular Full-Time

MORE INFORMATION ABOUT THIS JOB

Job Title: Credentialing Coordinator (NEMT)

Reports To: Operations Manager

Department: A2C National Operations

FLSA Status: Non-Exempt







POSITION SUMMARY:

The Credentialing Coordinators review provider s application, obtains verifications of credentials to procure insurance coverage and confirm that the providers and their employees meet the criteria as established by policy. The Credentialing Coordinators must develop and maintain an excellent working relationship with Network Specialists. They are responsible for Commercial Division Providers nationwide. They may be expected to assist with special projects.



Essential Duties and Responsibilities -

* Reviews Provider Applications and creates credentialing file

* Data entry of providers information into the database

* Maintains current documentation and updates in database

* Verifies providers credentials by primary source, internet and clearinghouses.

* Evaluates data and determines suitability of match with providers

* Obtains Insurance Certificates and NPDP-HIPDB self queries.

* Coordinates file review and approval by the Credentialing Committee.

* Networks and coordinates the sharing, receipt, and/or update of information among various internal departments and other regions, if requested.

* Maintains the Commercial Credentialing database.

* Prepares documents as required for audits and ad hoc reports.

* Collects and submits documents in response to Significant Events, legal requests and any other special requests from Clients or regulatory agencies.

* Obtain copies and/or verifications of expired documents.

* Maintain positive behaviors, approaches, appearance, attitude and commitment to interpersonal service toward customers, visitors, and coworkers.

* Participates in filling vacancies for sickness, vacation and other time off.

* Support and comply with established Federal, State, Municipality, Company and departmental policies, procedures, objectives, quality improvement, and safety standards.

* Maintain competency through professional growth and development through continuing education sessions, conferences, and seminars.

* Maintain performance levels consistent with departmental standards.

Non-Essential Duties and Responsibilities-

* Perform other duties as assigned.

Minimum Qualifications:

Education/Licensing/Certification:

* High school diploma or GED required.

* Associate or Bachelor coursework or degree preferred



Experience:

* Must have 1-3 years of credentialing experience or equivalent experience working in environments requiring document collection, assessment and validation



Other i.e. knowledge and skills:

* Must have superior verbal and written communication skills

* Must present a demonstrated knowledge pertaining to computer and communications equipment

* Must have excellent time management and organizational skills

* Must have the ability to interact timely and effectively with internal and external customers.

EEO STATEMENT

Global Medical Response and its family of companies are an Equal Opportunity Employer including Veterans and Disabled

OPTIONS

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