Position Summary

This individual will serve as a liaison between KSOSN, partner facilities, dialysis organizations, and payers to successfully assist with tasks pertaining to our practitioners credentialing. The Credentialing Coordinator will organize, maintain, and verify all aspects of the process, and maintain current files on practitioners. The Credentialing Coordinator will track the expiration of certifications to maintain up to date files and assist health plan providers and facilities with credentialing and contracting inquiries. To be successful in this role the Credentialing Coordinator will ensure the accuracy of all information.

Essential Job Functions:

• Processes initial credentialing and re-credentialing applications for facilities and payers.
• Onboards new providers.
• Conducts payer contracting.
• Conducts thorough research and primary source verification of all components of the application file.
• Assists facilities and payers with credentialing inquiries.
• Ensures compliance with applicable laws, regulations, procedures, and policies.
• Assists with credentialing audits.
• Ensures that payers and facilities have all credentialing items needed.
• Tracks and records metrics for credentialing applications.
• Maintains up to date and accurate credentialing files.
• Other duties as assigned.

Disclaimer

The duties, functions and responsibilities described above are not a comprehensive list. Additional tasks may be assigned from time to time or the scope of the job may change as necessitated by business demands.

Minimum Requirements:

• Must be fully vaccinated for covid-19 by date of hire.
• High School Diploma required.
• Minimum of two (2) years of credentialing experience with extensive knowledge of credentialing and privileging procedures, standards and requirements.
• Minimum one (1) year of related experience in a fast-paced healthcare office environment.
• Must have intermediate knowledge of Microsoft Office applications.
• Must possess excellent customer service, communication, organizational and interpersonal skills.
• Must be detail oriented with data entry proficiency.
• Must have the ability to adapt to change and support new policies and procedures in a positive manner.
• Ability to focus for extended periods.
• Must be able to read, write, speak, understand, and satisfactorily communicate with others in English in person, over the phone and via email.
• Spanish a plus.