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Credentialing Coordinator

Company: CAN Community Health
Location: Sarasota
Posted on: November 22, 2021

Job Description:

Description:
CAN Community Health the 2nd largest provider of HIV Services in the United States has an exciting opportunity for a Credentialing Coordinator in Sarasota, FL. We are looking for someone who is passionate about serving the needs of individuals impacted by infectious diseases. You will become part of our professional team that drives home our Company's Mission and Values. We offer good quality of life with an excellent schedule, competitive pay with a bonus plan, premiere benefits package with a retirement plan with a generous company matching contribution. We have received recognition in 2021, 2019, & 2018 NPT's Best Non-Profit to Work for Award.All new hires must provide proof of COVID-19 vaccination status. You can find out more about us by visiting our website at www.cancommunityhealth.org. Apply Today! Statement of Purpose: This position is responsible for leading, coordinating, monitoring, and maintaining the credentialing and re-credentialing process and make certain healthcare professionals and services meet all established federal and state standards. Ensures interpretation and compliance with the appropriate accrediting and regulatory agencies, while developing and maintaining a working knowledge of the statues and laws relating to credentialing.Primary Tasks: Credentialing Coordinator1. Processes provider credentialing applications in accordance with accreditation standards, regulatory requirements, and policies and procedures.2. Conducts thorough background investigation, research and primary source verification of all components of the application file.3. Identifies issues that require additional investigation and evaluation, validates discrepancies and insures appropriate follow-up.4. Responds to inquiries from other healthcare organizations, interfaces with internal and external customers on day-to-day credentialing and privileging issues as they arise.5. Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers.6. Tracks license and certification expiration's for all providers to ensure timely renewals.7. Promotes and practices CAN Community Health's missionand values, and follows its policies and procedures.8. Ensures confidentiality is maintained by CM team regarding patient/client information in accordance with HIPAA, professional and departmental standards.Secondary Tasks: Credentialing Coordinator1. Sets up and maintains provider information in online credentialing databases and system.2. Maintains corporate provider contract files.3. Perform all other duties as assigned.Responsible To: Billing Manager.

Requirements:
Education/Professional: Credentialing Coordinator1. High School Diploma; Associate degree preferred.2. 2-4 years Credentialing experience preferred.3. Certified Provider Credentialing Specialist (CPCS) preferred.Knowledge, Skills and Abilities Required: Credentialing Coordinator1. Proficiency in the use of Microsoft Office applications and internet resources.2. communicates effectively both orally and in writing.4. Ability to analyze, interpret, and draw inferences from research findings, and prepare reports.5. Ability to use independent judgment to manage and impart confidential information.6. Excellent attention to detail.7. Ability to establish and maintain effective working relationships with providers, management, staff, and contacts outside the organization.Physical Requirements: Credentialing Coordinator1. Neat, professional appearance.2. SEDENTARY- Exerts up to 10 lbs. of force occasionally and/or a negligible amount of force frequently or constantly in lift, carry, push, pull, or otherwise move objects, including the human body. Involves sitting most of the time but may involve walking or standing for brief periods of time.3. Requires expressing or exchanging ideas by means of spoken word, visual and auditory acuity.CAN is an equal opportunity employer that is committed to diversity and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable lawCAN is an equal opportunity employer that is committed to diversity and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable lawPI153318068

Keywords: CAN Community Health, Sarasota , Credentialing Coordinator, Other , Sarasota, Florida

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