Remote Credentialing Coordinator – Managed Care

Cardinal Health; San Juan (PR); À distance; USD 25 000 - 41 000; Plein temps

Avantages offerts par ce poste

Medical, dental and vision coverage

Paid time off

Health savings account (HSA)

401k savings plan

Flexible spending accounts (FSAs)

Disability coverage

Work-Life resources

Paid parental leave

Healthy lifestyle programs

Résumé du poste

Cardinal Health is seeking a Coordinator, Managed Care, Credentialing to maintain active credentialing/enrollment status with contracted payors and ensure licenses are updated for all groups and providers. The role emphasizes credentialing workflows, deadlines, and collaboration with the Credentialing Supervisor.

The position requires 3+ years in credentialing or payer enrollment, knowledge of payer issues, and proficiency with credentialing databases.

Qualifications

• At least three years of credentialing or payer enrollment experience in a managed care or provider setting.
• Knowledge of the payer environment and payer issues.
• Ability to work a flexible schedule, including overtime and weekends.
• Excellent customer service and communication skills.
• Credentialing database experience (IntelliCred, E-Vips, Vistar, Cactus, Symed) preferred

Responsabilités

• Responsible for documenting and tracking all credentialing/enrollment, re-credentialing/re-enrollment, and hospital privileging activities within the credentialing platform
• Maintain and monitor all licenses and certifications in the credentialing platform to ensure compliance within all regions.
• Participate in training sessions and special projects such as learning new system workflows, completing required training, and adopting updated processes within established timeframes.
• Coordinate provider enrollment activities (including initial enrollments or re-credentialing) for all groups and providers.
• Ensure all facility and provider licenses and certifications are accurate and in good standing at all times.
• Complete all forms and supporting documents required to obtain hospital privileges for physicians, as necessary.
• Ensure that all processing and reporting deadlines are consistently achieved.
• Meet regularly with Credentialing Supervisor and other team members to provide updates on progress and status of credentialing and enrollment matters.
• Performs any other functions as required by management.

Connaissances

Credentialing

Payer enrollment

Excel

Communication skills

Team player

Formation

College degree

Outils

IntelliCred

E-Vips

Vistar

Cactus

Symed

Description du poste

Cardinal Health is seeking a Coordinator, Managed Care, Credentialing to maintain active credentialing/enrollment status with contracted payors and ensure licenses are updated for all groups and providers. The role emphasizes credentialing workflows, deadlines, and collaboration with the Credentialing Supervisor.

The position requires 3+ years in credentialing or payer enrollment, knowledge of payer issues, and proficiency with credentialing databases.