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Planned Parenthood South Atlantic
Raleigh, NC | Full Time
$91k-111k (estimate)
7 Months Ago
Credentialing Coordinator
$91k-111k (estimate)
Full Time | Ambulatory Healthcare Services 7 Months Ago
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Planned Parenthood South Atlantic is Hiring a Credentialing Coordinator Near Raleigh, NC

Our doors are open, and we are still providing care. Planned Parenthood South Atlantic is committed to providing high quality, inclusive, and non-judgmental sexual and reproductive healthcare to all genders, sexual orientations, races, religions, abilities, ethnicities, and cultural backgrounds. We are a team of compassionate and dedicated staff members, and we will continue to open our doors to those who need it. The challenges we face, past and present, only strengthen PPSAT's commitment to our community. Our work has staying power. Come join us one of the nation's leading providers of sexual and reproductive healthcare. Learn more: ppsatcareers.orgWhy Planned Parenthood South Atlantic? We are powerful educators, advocates and innovators for health care. Be part of the diverse Planned Parenthood family. Work hand in hand with like-minded individuals in an environment built on collaboration, open communication, and mutual respect. We’re looking for passionate, dedicated people who are eager to make positive contributions to their community and to our mission. What's interesting about this job? The Credentialing Coordinator works with employees and insurance payers to ensure payer and provider credentialing, re-credentialing and licensure is completed in a timely manner. They build rapport with licensed staff and collaborates to obtain required licenses and credentialing documents. The Coordinator maintains staff licenses and tracks renewal dates and expirations. They ensure all onboarding providers hold the adequate licensure for their position. Who You Are: Passionate about reproductive health care and justice. Believe sexual health is essential to every person’s overall health, well-being, and happiness. Excited about working on multiple projects. Excellent with engaging and developing relationships. Experience working with multiple state requirements. Passion for organization and strong attention for detail. Excellent time management skills What You'll Do: (but not limited to) Maintain confidentiality and accuracy of all provider credentialing files in accordance with PPSAT, PPFA and legal standards. Update credentialing databases such as CAQH, NPPES, and Ready Doc with accurate provider information. Review credentialing related issues/denials and work with appropriate parties to resolve. Routinely update rosters and submit them upon request. Performs payer calls to obtain updates on provider’s credentialing statuses and implement follow up procedures to ensure credentialing applications are moving forward. Tracks and performs re-credentialing for health centers and provider accounts for various payers. Ensures there are no lapses in provider’s credentialing statuses. Work with Director of Revenue Cycle in auditing credentialing tasks and dates. Maintain credentialing relationship with insurance representatives when applicable. Submits provider/facility update forms and track re-credentialing dates. Perform re-credentialing for each provider in accordance with PPFA standards. Communicates with payers with roster updates, health center updates, and termination updates. Send payers quarterly updates and/or provide provider update through payer portals. Schedule: Monday through Friday working 40 hours per week from 9:00AM to 5:00PM. This position will work remotely with some on-site work. What You Get: Full Time: Full benefits: medical, dental, and vision Health Reimbursement Account 403B Retirement Plan with matched contributions Paid Time Off Holiday Pay Employee Assistance Program Compensation: PPSAT's compensation philosophy is based in equity and transparency. This position's minimum pay rate is $ 18.55 an hour. Starting offers are determined by both the candidate's experience and internal equity within the pay grade. A complete application includes a cover letter and resume.This position requires a background check once a job offer is extended to the final candidate. PPSAT does not discriminate in employment and understands the many barriers candidates may face when applying to jobs. One of those barriers is the criminal justice system and its effects on background checks. We understand that these barriers more often negatively impact BIPOC, and as an organization, we are working to eliminate those barriers. A conviction is not an absolute bar to employment. Factors such as the age of the offense, evidence of rehabilitation, the seriousness of violation, and job relatedness are considered in all employment decisions. We are committed to workforce diversity and aspire to reflect the communities we serve. To that end, we strongly encourage people of color, LGBTQ identifying individuals, people with disabilities and other underrepresented groups to apply.Planned Parenthood South Atlantic is an equal opportunity employer.No phone calls please.

Job Summary

JOB TYPE

Full Time

INDUSTRY

Ambulatory Healthcare Services

SALARY

$91k-111k (estimate)

POST DATE

09/14/2022

EXPIRATION DATE

01/06/2023

WEBSITE

ppsat.org

HEADQUARTERS

RALEIGH, NC

SIZE

3,000 - 7,500

FOUNDED

1916

TYPE

Private

CEO

JENNY BLACK

REVENUE

$10M - $50M

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The job skills required for Credentialing Coordinator include Health Care, Time Management, Onboarding, Collaboration, etc. Having related job skills and expertise will give you an advantage when applying to be a Credentialing Coordinator. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Credentialing Coordinator. Select any job title you are interested in and start to search job requirements.

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The following is the career advancement route for Credentialing Coordinator positions, which can be used as a reference in future career path planning. As a Credentialing Coordinator, it can be promoted into senior positions as a Compliance Manager - Healthcare that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Credentialing Coordinator. You can explore the career advancement for a Credentialing Coordinator below and select your interested title to get hiring information.

If you are interested in becoming a Credentialing Coordinator, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Credentialing Coordinator for your reference.

Step 1: Understand the job description and responsibilities of an Accountant.

Quotes from people on Credentialing Coordinator job description and responsibilities

A credential coordinator performs a variety of administrative tasks. This includes processing initial credentialing and re-credentialing applications.

01/22/2022: Baltimore, MD

Credential coordinator's common duties may also include screening practitioners' applications and supporting documentation to ascertain their eligibility.

03/07/2022: Florence, AL

The credentialing coordinator will organize, maintain, and verify all aspects of the process, and maintain current files on practitioners.

02/07/2022: Helena, MT

Educate the healthcare facility and division regarding the credentialing policies and procedures.

03/19/2022: Wilmington, DE

Create educational material regarding the department's credentialing effort.

04/06/2022: Long Beach, CA

Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.

Career tips from people on Credentialing Coordinator jobs

Credentialing specialists can often find work with a high school diploma or the equivalent.

01/27/2022: Charleston, WV

A credentialing specialist can have certificates that will prove useful to their field.

01/29/2022: Lincoln, NE

Must be proficient with Microsoft Office Word and Excel.

01/23/2022: Bangor, ME

Respond to health plan provider inquiries with utmost respect.

03/01/2022: New Orleans, LA

Ensuring data is backed up.

02/21/2022: Asheville, NC

Step 3: View the best colleges and universities for Credentialing Coordinator.

Butler University
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