2 Credentialing coordinator Jobs in Delray Beach, FL
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Staffosaurus is Hiring a Credentialing coordinator Near Delray Beach, FL
Contracting and Credentialing Coordinator
About Us
Guardian Recovery Network is a rapidly growing national substance use disorder treatment provider based in South Florida.
Our mission is to restore the lives of all those suffering with substance use disorders. Long term, our aim is to lead the way in ethical standards, successful outcomes, and client-centric care.
We have a caring and inviting work environment with ample opportunities for growth during our expansion.
Join us as we continue to provide unwavering dedication to our clients, compassion & care for their families and ethical & professional excellence for our staff.
Join Our Team
As a Payor Contracting and Credentialing Coordinator, you will play a pivotal role in managing the credentialing and contracting processes for both behavioral health and medical services.
Your responsibilities will involve ensuring the timely completion of enrollment applications and coordinating the review and updates of all payor contracts.
Additionally, you will lead the management of payer issues and keep internal leadership teams informed through detailed reporting.
Benefits
In addition to competitive pay, we offer quality health insurance, dental and vision, 401k, paid time off, and more. We believe in the growth and success of our team to support our mission of helping our clients.
Requirements
- Minimum of two years of experience in behavioral healthcare credentialing and contracting.
- Exceptional attention to detail, organizational skills, and the ability to manage multiple
tasks simultaneously.
- Strong communication and interpersonal skills.
- Proficiency in Monday, Salesforce, G-Suite, and Microsoft Excel.
- Ability to work both independently and as part of a collaborative team in a fast-paced environment.
Responsibilities
Contract Oversight and Accountability : Distill key business terms from all contracts by stakeholder groups such as Admissions, Discharge Planning, and Billing.
Contract Renewals and Terminations : Proactively alert supervisors about all
upcoming contract renewals and terminations. Manage the renewal process and coordinate efforts to address contract terminations efficiently.
Payer Issue Resolution : Lead and manage all payer-related issues, ensuring prompt and effective resolution.
Credentialing and Contract Management : Oversee the credentialing process with new payors as required. Submit and track enrollment applications to ensure timely completion.
Monitor, maintain, and coordinate reviews and updates to all payor contracts.
Data Management and Reporting : Prepare detailed credentialing and contracting reports for internal leadership. Maintain accurate and up-to-date credentialing and contracting databases.
Stakeholder Education and Collaboration : Educate billing and clinical teams on the specifics of contracts, including any terms related to value-based or alternative payment models.
Collaborate with various departments to support the negotiation and execution of contracts.
Policy and Compliance : Keep abreast of policy changes, billing requirements, and payor-specific guidance, communicating relevant changes to necessary
departments while maintaining privacy and confidentiality.
Pay : $60,000 - $65,000 Annually
Schedule : Full-time
Location : Delray Beach, FL
Apply today!
Last updated : 2024-04-27
Job Summary
Full Time
$66k-83k (estimate)
04/29/2024
05/09/2024
The job skills required for Credentialing coordinator include Billing, Leadership, Attention to Detail, Organizational Skills, 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.
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.
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