Overview

Select Medical Outpatient Division

3820 American Drive

Plano, Texas 75075

Credentialing Coordinator

Full Time (On-Site/Hybrid)

M-F 7:30am-4:00pm (w/some flexibility)

$17-19/hour based on experience

Diverse Health Benefit Packages, PTO & EID Leave, 401K company match & more

*Are you an individual who enjoys working on the business side of health care?

* Do you have experience in provider credentialing or another related healthcare field?

*Do you want to work for a company devoted to helping others and achieving outcomes that improve quality of life?

Then this might be an opportunity for you! Watch for a glimpse into life at Select Medical!

Responsibilities

• Manage state specific credentialing activities for providers in our outpatient facilities.
• Prepare and process all credentialing documentation.
• Update and maintain current and accurate practitioner files and data base.
• Track and report practitioner changes to appropriate parties.
• Communicate with practitioners, data banks, state licensing and regulatory bodies, educational programs, health plans, and other divisions within the company.
• Coordinate with health plans to provide practitioner credentialing documentation as required.
• Participate in activities associated with health plan site audits and Credentialing Committee meetings.
• Coordinate training and educational requirements for credentialing staff.
• Provide routine updates and status reports for health plans and other divisions within the company.
• Maintain confidentiality of practitioner information.
• Collaborate with team members to assist with process improvement and development of policies and procedures.
• Provide routine updates and status reports for health plans and other divisions within the company.
• Coordinated efforts with other credentialing and Managed Care personnel.
• Troubleshoot with internal business operations and Managed Care contracting to resolve accounts receivable delays due to credentialing issues.
• Participate in development and coordination of departmental CQI initiatives. Perform other duties as assigned.

Qualifications

Minimum Qualifications

• At least 2 years of experience in provider credentialing or other related healthcare field
• Proficient in Windows (Word, Excel, and Access).
• Ability to be professionally assertive with internal and external partners in order to be influential in finding resolutions.
• Strong oral and written communication skills with the ability to interact professionally and positively within all levels of the organization.
• Detail oriented with good organizational skills and the ability to maintain accuracy while meeting deadlines and production requirements.
• Excellent interpersonal skills and commitment to quality improvement. 
• Professional with the ability to work well independently as well as collaboratively with a team.

Preferred Qualifications

• Prior credentialing experience.
• Knowledge of credentialing processes, terminology and NCQA standards.
• Strong analytical skills, including process improvement and problem resolution.