Remote Credentialing & Enrollment Coordinator

Cardinal Health; Hagåtña (GU); Remote; USD 25.000 - 41.000; Vollzeit

Benefits dieser Stelle

Medical, dental and vision coverage

Paid time off

401k savings plan

Health savings account (HSA)

Flex spending accounts (FSAs)

Disability coverage

Work-Life resources

Paid parental leave

Zusammenfassung

Navista, an oncology practice alliance, seeks a Coordinator for Managed Care Credentialing to manage active credentialing/enrollment status with contracted payors for all groups and providers. The role ensures licensure is updated and active across regions and supports payer enrollment workflows.

The position requires 3+ years in credentialing, knowledge of payer issues, and strong communication. Flexible scheduling is possible; benefits are provided by Cardinal Health network.

Qualifikationen

• At least three (3) years of credentialing or payer enrollment experience in a managed care or provider setting.
• Specific knowledge of the payer environment and payer issues
• Ability to work a flexible schedule (including overtime, and weekends), as necessary.
• Excellent customer service and communication skills.
• Credentialing database experience (such as IntelliCred, E-Vips, Vistar, Cactus, Symed, etc.) preferred

Aufgaben

• 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.

Kenntnisse

Credentialing experience

Excel

Word

Customer service

Teamwork

Flexible schedule

Ausbildung

College degree or commensurate healthcare experience

Tools

IntelliCred

EVips

Vistar

Cactus

Symed

Jobbeschreibung

Navista, an oncology practice alliance, seeks a Coordinator for Managed Care Credentialing to manage active credentialing/enrollment status with contracted payors for all groups and providers. The role ensures licensure is updated and active across regions and supports payer enrollment workflows.

The position requires 3+ years in credentialing, knowledge of payer issues, and strong communication. Flexible scheduling is possible; benefits are provided by Cardinal Health network.