Credentialing Coordinator - Physician Group of Utah
Location: South Jordan Utah
Description: Physician Group of Utah is currently seeking to employ Credentialing Coordinator - Physician Group of Utah right now, this career will be placed in Utah. For complete informations about this career opportunity kindly read the description below. The Credentialing Coordinator is responsible for gathering and verifying physician information, compiling required documents, researching necessary information and interacting with the primary sources to verify information submitted by providers on their application.
Key Responsibilities Reviews provider applications and resumes for consistency and accuracy, based on NCQA and health plan requirements Compiles documents, research and verify provider backgrounds Run queries and review FSMB and NPDB reports Mail and fax verification requests to references and appropriate sources Interviews provider peer references to collect required structured data Load the provider information into DocuWare and Medkinetics or provider specific binders as needed for information management Complete documentation and maintain provider delegated credentialing file Participates in department performance improvement activities Provides answers to stakeholder questions on the status of provider applications Compiles credentialing files for submission to the Delegated Credentialing Governing Body Assembles minutes for meetings/actions under the direction of the Director Completes orientation related to the Delegated Credentialing Program Assembles information and interfaces with health plan representatives to meet their needs Creates and generates reports for health plans, in accordance with plan requirements Attends and is a resource for all audit activities conducted, either by an accreditation agency or a health plan
Minimum Requirements:
High School diploma or GED equivalent is required Demonstrated ability to communicate effectively on the phone, in writing and via email Ability to exercise discretion on sensitive and confidential matters Demonstrated computer skills with data entry software Excellent organizational, communication and interpersonal skills Institutional accreditation and degree obtainment will be verified upon hire
Preferred Qualifications:
Bachelor's degree Certification as a Certified Provider Credential Specialist (CPCS) or a Certified Medical Staff Coordinator (CMSC) Minimum two (2) years of experience in physician credentialing
Physical Requirements:
Work up to a 12 hour shift Sit up to 8-10 hours a day Stand and walk up to 2 hours a day Speak and listen to internal and external customers Bend to reach supplies/materials, reach with hands and arms throughout the day Lifting, pushing, pulling Grasp and manipulate tools Key information into a computer workstation, use computer peripheral tools
Please Note:
All positions subject to close without notice
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If you were eligible to this career, please email us your resume, with salary requirements and a resume to Physician Group of Utah.
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This career starts available on: Wed, 22 Aug 2012 02:07:25 GMT
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