Credentialing Coordinator

Akkodis

Dallas (TX)

On-site

USD 34,440 - 39,950

Part time

14 days+

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Benefits offered by this job

Medical insurance

Dental insurance

401K plan

Job summary

A staffing agency is seeking a Credentialing Coordinator for a 3+ month contract in Dallas, TX. The role involves verifying credentials, ensuring compliance with regulations, and managing documentation. Ideal candidates should have experience in credentialing and relevant certifications, and strong communication skills are essential. This position offers a pay range of $25 - $29 per hour with additional benefits.

Qualifications

Successful work experience in a credentialing role.
NAMSS Certification as a Certified Provider Credentialing Specialist (CPCS) or within 2 years of eligibility to certify.
Experience with CAQH and MD Staff is preferred.

Responsibilities

Ensure providers meet credentialing requirements.
Review and screen credentialing applications for compliance.
Conduct primary source verification and document collection.
Monitor credentialing files for completeness and accuracy.

Skills

Credentialing experience

Attention to detail

Communication skills

Problem-solving abilities

Education

Certification as a Certified Provider Credentialing Specialist (CPCS)

Tools

Google Suites

Job description

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Pay found in job post

Retrieved from the description.

Base pay range

$25.00/hr - $29.00/hr

Akkodis is seeking a Credentialing Coordinator for a 3+ Contract position with a client located in Dallas, TX

Pay Range: $25/hr - $29/hr (The rate may vary based on experience, education, geographic location, and other factors.)

Position Responsibilities

The Credentialing Coordinator role will be responsible for ensuring all providers have the necessary requirements and are approved to participate in the application client health plans.

Review and screen initial and reappointment credentialing applications for completeness, accuracy, and compliance with federal, state, local, and NCQA regulations, guidelines, policies, and standards.
Conducts primary source verification, collects and validates documents to ensure accuracy of all credentialing elements; assesses completeness of information and qualifications relative to credentialing standards and criteria, while maintaining the confidentiality of all protected health information that may be accessed.
Identifies analyzes and resolves extraordinary information, discrepancies, time gaps, and other idiosyncrasies that could adversely impact the ability to credential and enroll practitioners; discovers and conveys problems to Credentialing Manager/Supervisor/Director.
Monitors files to ensure completeness and accuracy; reviews all file documentation for compliance with quality standards, accreditation requirements, and all other relevant policies; prepares and provides information to internal and external customers as appropriate.
Enters, updates, and maintains data from provider applications into the credentialing database, focusing on accuracy and interpreting or adapting data to conform to defined data field uses and in accordance with internal policies and procedures.
Prepares, issues, electronically tracks, and follows up on appropriate verifications for efficient, high-volume processing of individual applications in accordance with applicable credentialing standards, established procedural guidelines, and strict timelines.
Communicates clearly with providers, internal/external clients, and all staff as needed to provide timely responses upon request on day-to-day credentialing issues as they arise.
Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of the latest developments to enhance understanding of various regulations and legislation of the healthcare industry and assist with special projects on an as-needed basis.

Qualifications:

Successful work experience in a credentialing role, NAMSS Certification as a Certified Provider Credentialing Specialist (CPCS) or within 2 years of eligibility to certify (Preferred), CAQH Experience (Preferred), MD Staff Experience (Preferred), and Google Suites Experience (Preferred).

If you are interested in this Credentialing Coordinator job, then please click APPLY NOW. For other opportunities available at Akkodis go to www.akkodis.com. If you have questions about the position, please contact Sunny Kumar at Sunny.Kumar1@akkodisgroup.com.

Equal Opportunity Employer/Veterans/Disabled

Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, an EAP program, commuter benefits, and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable. Disclaimer: These benefit offerings do not apply to client-recruited jobs and jobs that are direct hires to a client.

To read our Candidate Privacy Information Statement, which explains how we will use your information, please visit https://www.akkodis.com/en/privacy-policy.

The Company will consider qualified applicants with arrest and conviction records by federal, state, and local laws and/or security clearance requirements, including, as applicable:

· The California Fair Chance Act

· Los Angeles City Fair Chance Ordinance

· Los Angeles County Fair Chance Ordinance for Employers

· San Francisco Fair Chance Ordinance

Seniority level