Credentialing Coordinator - USFHP

Providence Health & Services; Renton (WA); On-site; USD 36,000 - 56,000; Full time

Job summary

Providence Health & Services is seeking a Credentialing Coordinator to manage data collection, organization and submission of enrollment applications required by health plans, hospitals and regulatory agencies.

You will collaborate with practitioners, clinic leadership, Medical Staff, Provider Relations, Human Resources and Epic analysts to ensure timely payor enrollment for new practitioners and re-enrollment for established providers.

Qualifications

• Organizational and communication skills (written, presentation, listening, and oral).
• Evidence of ability to coordinate multiple projects and tasks of medium complexity.
• Takes initiative and works independently with minimal guidance.
• Previous provider credentialing, healthcare or general office experience

Responsibilities

• Collect and organize enrollment applications required by health plans, hospitals and regulatory agencies.
• Submit enrollment applications and ensure timely payor enrollment for new and established practitioners.
• Collaborate with clinic leadership, Medical Staff, Provider Relations, Human Resources and Epic analysts to facilitate enrollment and re-enrollment.

Skills

Organizational skills

Communication skills

Project coordination

Initiative

Independent work

Job description

Description

The Credentialing Coordinator is accountable for data collection, organization and submission of enrollment applications required by health plans, hospitals and governmental and other regulatory agencies. Works closely with individual practitioners, clinic leadership, Medical Staff, Provider Relations, Human Resources, physician billing office and Epic analysts to facilitate timely payor enrollment for new practitioners and re-enrollment for established practitioners. Performs all duties in a manner that promotes PacMed mission, values, and philosophy.

Providence caregivers are not simply valued - they're invaluable. Join our team at Pacmed Clinics DBA Pacific Medical Centers and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

Required Qualifications:

• Key experience highlights must include: Organizational and communication skills (written, presentation, listening, and oral); Evidence of ability to coordinate multiple projects and tasks of medium complexity; Takes initiative and works independently with minimal guidance.

Preferred Qualifications:

• Previous provider credentialing, healthcare or general office experience

Why Join Providence?

Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our mission to advocate, educate and provide.

About Providence

At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

About the Team

Pacific Medical Centers (PacMed) is a private, not-for-profit, primary and integrated multi-specialty health care network with outpatient clinics and primary and specialty care providers in King, Snohomish and Pierce counties. We combine decades of patient-centered care with cutting-edge technology, first-class facilities and board-certified providers.

Our strong team environment and respect for our people-at all levels and from all backgrounds-allow us to provide authentic care that achieves the highest-quality patient outcomes, backed by the strong network of resources and support through our affiliation with the Providence family, including local partners like Swedish Health Services.

Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.

Pay Range: $26.90 - $41.89

These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.