Department

REGIONAL CREDENTIALING - 108037

Worker Sub Type

Regular

Work Shift

Pay Grade

111

Job Description

The Coordinator, Insurance Credentialing will be responsible for coordinating provider enrollment and re-credentialing activities for Valley Health. Position will require confidentiality, professionalism and accountability be held as it has significant access to confidential employee, patient, organizational, and financial information. Individual must act independently and in an organized fashion to coordinate activities related to provider enrollment and credentialing as well as maintain follow-up correspondence related to those activities. This could include but not limited to reviewing incoming or outgoing documentation, preparing and updating various reports and summaries, keeping the CAQH (Council for Affordable Quality Healthcare) database up to date, answering telephone calls, responding to emails and faxes in a timely fashion.

Education
High School Diploma or equivalent required
Education beyond high school level or work experience demonstrating administrative skills required

Experience
2 years - Healthcare administration demonstrating progressive levels of responsibility preferred experience in human subject research
Experience working in a healthcare related administration or coordinator role for a minimum of 2 years preferred
Experience within Human Subject Research preferred

Certification & Licensures
National Association Medical Staff Services (NAMSS) Credentialing Specialist Certification (CPCS) preferred

Qualifications
• Proficient in spelling, grammar and punctuation • Proven database management skills • Knowledge of Microsoft Word, Excel and PowerPoint preferred • Strong situation analysis skills and ability to communicate effectively on a wide range of levels. • Excellent Critical Thinking, Time-Management, and Communication skills • Exceptional interpersonal skills to interact professionally with staff, physicians, consumer, surveyors, and public officials • Must exhibit competency in credentialing software within 30 days of hire • Knowledge of medical terminology • Current knowledge of Joint Commission and NCQA standards and credentialing process

FLSA Classification
Non-exempt

Physical Demands
6 A Customer Service

Benefits

At Valley Health, we believe everyone is a caregiver, and our goal is to create an environment where our caregivers thrive physically, financially, and emotionally. In addition to a competitive salary, our most popular benefits for full-time employees include:

• A Zero-Deductible Health Plan
• Dental and vision insurance
• Generous Paid Time Off
• Tuition Assistance
• Retirement Savings Match
• A Robust Employee Assistance Program to help with many aspects of emotional wellbeing
• Membership to Healthy U: An Incentive-Based Wellness Program

Valley Health also offers a health savings account & flexible spending account for childcare, life insurance, short-term and long-term disability, and professional development. In addition, several perks come with working for the largest employer in the region, such as discounts to on-campus dining, and more.

To see the full scale of what we offer, visit valleyhealthbenefits.com.