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Credentialing Coordinator Non-Clinical - Health and Information Management

Remote · Nigeria Full-time

Credentialing Coordinator Non-Clinical - Health and Information Management: On behalf of our Health and Information Management client, Procom is searching for a Credentialing Coordinator for a contract role. This position is a remote position based in Chicago, Illinois. Credentialing Coordinator Non-Clinical - Health and Information Management - Job Description: Under the direction of the Manager, the Credentialing Coordinator will coordinate, monitor, and maintain the credentialing and re-credentialing of Provider Applicants. This involves facilitating all aspects of appointment, reappointment, and privileging maintenance for managed care, medical staff, and non-physician providers, ensuring compliance with accrediting and regulatory agencies. Credentialing Coordinator Non-Clinical - Health and Information Management - Responsibilities:

  • Collect relevant and critical data to determine applicant's eligibility to be credentialed.
  • Evaluate and review applications for accuracy and completeness.
  • Gather and conduct primary source verifications of confidential healthcare provider credentials.
  • Contact and follow up with applicant, primary source organizations, and contracted Medical Staff Offices to obtain necessary documentation.
  • Maintain the confidentiality of all business, work, and credentialing information.
  • Assist in managing the flow of information between the managed care payers, contracted MSO facilities, and Rush Health.
  • Process and communicate all Rush Health practitioner additions, deletions, and/or changes to all contracted managed care payers.

Credentialing Coordinator Non-Clinical - Health and Information Management - Mandatory Skills:

  • Three or more years of credentialing experience in working with a CVO or Medical Staff Office.
  • Excellent organizational skills and attention to detail.
  • Experience with Echo credentialing software.

Credentialing Coordinator Non-Clinical - Health and Information Management – Nice-to-Have Skills:

  • Certification from National Association of Medical Staff Services (CPCS/CPMSM).
  • Strong problem-solving skills.
  • Effective communication skills.
  • Ability to work collaboratively in a team environment.
  • Accessible and responsive to stakeholder needs.

Credentialing Coordinator Non-Clinical - Health and Information Management – Assignment Length: This is a contract position. Credentialing Coordinator Non-Clinical - Health and Information Management - Start Date: ASAP. Credentialing Coordinator Non-Clinical - Health and Information Management - Assignment Location: Chicago, Illinois, United States, remote position.

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