Credentialing Coordinator - Primary Care Facility Credentialing
HealthDrive, Framingham, MA, United States
Overview
About HealthDrive
HealthDrive delivers on-site healthcare services to residents of long-term care facilities, offering a comprehensive suite of specialties including primary care, behavioral health, dentistry, optometry, podiatry, and audiology. Our mission is to improve the quality of life for patients through compassionate and consistent care, while supporting our partners with reliable, integrated healthcare solutions tailored to the unique needs of senior populations.
About You
You are interested in learning about or expanding upon your knowledge of Facility Credentialing. You consider yourself a fast learner and able to multi-task efficiently and with precision and accuracy. You thrive in either a team or individual setting. You enjoy the thrill of a fast-paced environment and expectations, but also easily manage "down-time" appropriately.
About the Role
This position will be responsible for the credentialing and re-credentialing of Primary Care providers with facilities and other Credentialing/RA tasks, plus project-based work/various tasks related to Regulatory Affairs. Opportunity for 3/2 hybrid schedule following training!
Compensation:
$20.00 to $25.00 per hour / experience dependent
Responsibilities
Key Responsibilities
Maintains high-quality, up-to-date and accurate credentialing processes of primary care professionals with nursing facilities and hospitals.
Assists in maintaining the healthcare professional's information in the Credentialing system by entering/uploading information and documents.
Prepares facility credentialing applications for healthcare professional's review and signature; follows up with healthcare professional until completed application is received back; submits the completed applications to the facilities.
Tracks and monitors the status of each credentialing request; follows up with facility until approval is received.
Credentialing & Other RA Tasks
Monthly NPDB renewals/terms
Monthly Exclusion screening updates (hires/terms)
EDI enrollments and monthly hires/terms
Onboarding of providers from acquisitions
Record requests
Weekly QA
Project-Based Work
Assist the department with various projects as the need arises. Examples of project work include but are not limited to payer audits/appeals, payer contract initiation.
Other duties and responsibilities as assigned.
Qualifications
Required Qualifications
Outstanding organizational skills and attention to detail.
Excellent judgment & prioritization skills: proactively prioritizes needs and effectively manages resources.
Must have excellent communication skills: verbal, interpersonal and written. This includes strong spelling and grammar skills and basic mathematical calculations.
Must have strong ability to self-direct and work independently in a high-volume, deadline-driven role.
Customer orientation: establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations.
Policies & procedures: articulates knowledge and understanding of organizational policies, procedures, and systems.
PC Skills: demonstrates proficiency in Microsoft Office (Excel, Access, Word) applications and other as required.
Ability to maintain confidentiality of privileged information gained.
Preferred Qualifications
Prior credentialing experience
About HealthDrive
HealthDrive delivers on-site healthcare services to residents of long-term care facilities, offering a comprehensive suite of specialties including primary care, behavioral health, dentistry, optometry, podiatry, and audiology. Our mission is to improve the quality of life for patients through compassionate and consistent care, while supporting our partners with reliable, integrated healthcare solutions tailored to the unique needs of senior populations.
About You
You are interested in learning about or expanding upon your knowledge of Facility Credentialing. You consider yourself a fast learner and able to multi-task efficiently and with precision and accuracy. You thrive in either a team or individual setting. You enjoy the thrill of a fast-paced environment and expectations, but also easily manage "down-time" appropriately.
About the Role
This position will be responsible for the credentialing and re-credentialing of Primary Care providers with facilities and other Credentialing/RA tasks, plus project-based work/various tasks related to Regulatory Affairs. Opportunity for 3/2 hybrid schedule following training!
Compensation:
$20.00 to $25.00 per hour / experience dependent
Responsibilities
Key Responsibilities
Maintains high-quality, up-to-date and accurate credentialing processes of primary care professionals with nursing facilities and hospitals.
Assists in maintaining the healthcare professional's information in the Credentialing system by entering/uploading information and documents.
Prepares facility credentialing applications for healthcare professional's review and signature; follows up with healthcare professional until completed application is received back; submits the completed applications to the facilities.
Tracks and monitors the status of each credentialing request; follows up with facility until approval is received.
Credentialing & Other RA Tasks
Monthly NPDB renewals/terms
Monthly Exclusion screening updates (hires/terms)
EDI enrollments and monthly hires/terms
Onboarding of providers from acquisitions
Record requests
Weekly QA
Project-Based Work
Assist the department with various projects as the need arises. Examples of project work include but are not limited to payer audits/appeals, payer contract initiation.
Other duties and responsibilities as assigned.
Qualifications
Required Qualifications
Outstanding organizational skills and attention to detail.
Excellent judgment & prioritization skills: proactively prioritizes needs and effectively manages resources.
Must have excellent communication skills: verbal, interpersonal and written. This includes strong spelling and grammar skills and basic mathematical calculations.
Must have strong ability to self-direct and work independently in a high-volume, deadline-driven role.
Customer orientation: establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations.
Policies & procedures: articulates knowledge and understanding of organizational policies, procedures, and systems.
PC Skills: demonstrates proficiency in Microsoft Office (Excel, Access, Word) applications and other as required.
Ability to maintain confidentiality of privileged information gained.
Preferred Qualifications
Prior credentialing experience