Credentialing Coordinator

Overview:

The Credentialing Coordinator supports the physician and healthcare professionals credentialing process and functions of United Vein & Vascular Centers.

We offer a supportive culture that is driven by deep commitment to the success of our patients and our teams. We invest in YOU and are dedicated to creating individualized opportunities for career advancement. In addition, we invest in our employees by offering:

• Competitive compensation package
• Outstanding work life balance
• Health, vision, and dental benefits
• 401K plan match
• Life insurance (100% company paid)
• PTO and paid holidays
• We invest substantial energy and resources in building a highly-engaged culture where your voice is heard, you are connected to a community of professionals who share your values, and you can thrive.

Responsibilities:

• Complete credentialing applications accurately and thoroughly for provider enrollment into health insurance networks.
• Review provider documents and compare against payer requirements to ensure completeness.
• Research and correct directory listing errors and payer participation issues.
• Frequent follow-ups with payer contacts to obtain credentialing and contracting statuses.
• Outreach to providers, as needed, to obtain signatures or missing documents.
• Organize provider files and update credentialing status in project management software platform.
• Obtain payer fee schedules.
• Continuously look for process improvements to increase efficiency.
• Handle confidential information with the utmost discretion.
• Demonstrate and promote a work culture committed to UVVC's Core Values: understanding, nurturing, ingenuity, trust, excellence, and diversity.
• Demonstrate behaviors that are consistent with UVVC's Standards of Conduct as outlined in our Employee Handbook.
• Maintain the confidentiality and security of Protected Health Information (PHI) in accordance with UVVC policies, the Health Insurance Portability and Accountability Act (HIPAA), and other applicable laws and regulations.  PHI is a top priority of our organization.
• Other duties as assigned.

Qualifications:

• High school diploma or GED required. Some college or AA degree 
  preferred.
• Minimum of 3 years physician credentialing experience required.
• Attention to detail and high-quality work product.
• Excellent written and verbal communication skills.
• Positive can-do attitude and eagerness to learn.
• Ability to learn new processes and new software programs with ease.
• Must be able to demonstrate extreme confidentiality in the role.
• Dependable; able to meet reliable attendance and punctuality standard.