What are the responsibilities and job description for the Credentialing Coordinator position at SENTA ENT and Allergy Physicians?
Brief Description
Southern Ear, Nose, Throat and Allergy (SENTA) physicians provide the highest quality allergy, asthma, immunology and otolaryngology care through our network of practices.
SENTA is a leading Management Services Organization (MSO) specializing in providing comprehensive support to ENT and Allergy private practices. Our mission is to help people Breathe better, Hear better, Live better. At SENTA, we focus on the operational efficiencies and financial performance of our partner practices, allowing physicians to focus on delivering exceptional patient care. We are committed to fostering a collaborative and supportive work environment where our employees can thrive and grow.
Position Overview
The Credentialing Coordinator will be responsible for managing all aspects of the credentialing process for our healthcare providers. This role ensures that our physicians and healthcare professionals meet all necessary requirements and maintain up-to-date credentials and privileges to practice in our facilities. The ideal candidate will have a strong background in healthcare credentialing, excellent organizational skills, and the ability to manage multiple tasks simultaneously. Please note this is an in office work environment.
Key Responsibilities
Qualifications
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Southern Ear, Nose, Throat and Allergy (SENTA) physicians provide the highest quality allergy, asthma, immunology and otolaryngology care through our network of practices.
SENTA is a leading Management Services Organization (MSO) specializing in providing comprehensive support to ENT and Allergy private practices. Our mission is to help people Breathe better, Hear better, Live better. At SENTA, we focus on the operational efficiencies and financial performance of our partner practices, allowing physicians to focus on delivering exceptional patient care. We are committed to fostering a collaborative and supportive work environment where our employees can thrive and grow.
Position Overview
The Credentialing Coordinator will be responsible for managing all aspects of the credentialing process for our healthcare providers. This role ensures that our physicians and healthcare professionals meet all necessary requirements and maintain up-to-date credentials and privileges to practice in our facilities. The ideal candidate will have a strong background in healthcare credentialing, excellent organizational skills, and the ability to manage multiple tasks simultaneously. Please note this is an in office work environment.
Key Responsibilities
- Credentialing Process Management:
- Initiate and manage the credentialing and re-credentialing process for all healthcare providers.
- Collect and verify all necessary documentation and information from providers.
- Ensure compliance with all regulatory and accreditation standards.
- Provider File Maintenance:
- Maintain accurate and up-to-date provider files and databases.
- Track and monitor expiration dates of licenses, certifications, and other credentials.
- Communication and Coordination:
- Serve as the primary point of contact for credentialing inquiries and issues.
- Liaise with providers, practice managers, and external agencies to resolve credentialing matters.
- Coordinate with insurance companies and other third-party payers for provider enrollment.
- Compliance and Audits:
- Conduct regular audits of credential files to ensure compliance with internal policies and external regulations.
- Prepare for and participate in accreditation surveys and audits.
- Reporting:
- Generate and maintain credentialing reports and metrics.
- Provide regular updates to practice management and leadership on the status of credentialing activities.
- Comprehensive Health Benefits (Medical, Dental, and Vision)
- Health Savings Account (HSA)
- Flexible Spending Account (FSA)
- Short & Long Term Disability
- Holidays & Paid Time Off (PTO)
- Employee Assistance Program (EAP)
- Retirement Contribution Program - 401(K) Match
Qualifications
- Bachelor's degree in Healthcare Administration, Business, or a related field (or equivalent experience).
- Previous experience in credentialing or medical staff services preferred.
- Knowledge of credentialing standards, regulations, and best practices (e.g., NCQA, Joint Commission)
- Familiarity with electronic credentialing systems and databases
- Strong attention to detail and exceptional organizational skills
- Excellent written and verbal communication skills
- Ability to multitask, prioritize, and meet deadlines in a fast-paced environment
- Proficiency in using Microsoft Office Suite and other relevant software applications
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- Certain US jurisdictions require SENTA Partners to provide new employees with a reasonable estimate of the salary for this role at the location in which the job may be performed. The posted salary range reflects our best estimate at the time of posting, though it's important to remember that actual salaries may vary. Factors that determine the final salary offer include office location, experience, skills, and current organizational needs.
- SENTA Partners is an equal opportunity employer and considers all qualified applicants for employment without regard to race, color, religion, sex, national origin, disability, veteran status, sexual orientation, gender identity, or any other protected status.
Salary : $65,000 - $70,000