Top 1 Credentialing coordinator Jobs in New Orleans, La

Lead Credentialing Coordinator
Tulane University —New Orleans, LA
- Full-time
- Microsoft Word
- Management
- 8 years
1d

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Lead Credentialing Coordinator
Tulane University —New Orleans, LA
Any appropriate combination of relevant education, experience, and/or certifications that demonstrates the ability to perform the essential functions of the…
1d

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Credentialing Coordinator
Orthopedic One —Westerville, OH
Performs other administrative tasks at the request of management as related to credentialing and board certification documentation.
Credentialing Coordinator, Lead
Orthopedic One —Westerville, OH
Performs other administrative tasks at the request of management as related to credentialing and board certification documentation.
4d

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Lead Credentialing Coordinator

Tulane University -
New Orleans, LA

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Job Details

Full-time
1 day ago

Qualifications

Microsoft Word
Spreadsheets

Full Job Description

The Lead Credentialing Coordinator provider operational leadership and subject matter expertise for provider credentialing and enrollment activities across Tulane University Medical Group. This role ensures compliance with NCQA regulations compliance, supports revenue integrity, manage documentation and serves as a key resource for credentialing staff and internal stakeholders. Provide Management with the necessary data required in the negotiation of new contracts. Works with Business Services Staff in the resolution of provider enrollment/credentialing issues. Works in a highly complex environment with a multiple level of staff, management and physicians. Works with large volumes of data. Meets initial deadlines and follow up deadlines consistently. Interfaces with LCMC, HSC, TUSOM, and other vendors for delegated credentialing.

REQUIRED QUALIFICATIONS:

Bachelor's degree

Any appropriate combination of relevant education, experience, and/or certifications that demonstrates the ability to perform the essential functions of the position may be considered.

PREFERRED QUALIFICATIONS

Familiarity with Managed Care Health Insurance Plans, especially credentialing procedures.
Experience with government payers, especially Provider Enrollment guidelines.
Excellent knowledge of required documentation for provider credentialing to Hospital Services Corporations and other outside credentialing agencies.
Ability to complete and maintain staff rosters with new enrollment and terminated providers for over 500+ providers .

Excellent oral and written communication skills.
Ability to work effectively with physicians and their staff members.
Detail-oriented with above average organizational skills in planning and prioritizing to meet deadlines.
Supervisory or leadership skills.
Project Management skills
Must be fluent in the use of Excel and Word.
Revenue Cycle experience in a Medical Group

Tulane University is an equal opportunity educator and employer committed to providing an education and employment environment free of unlawful discrimination, harassment, and retaliation. Legally protected demographic classifications (such as a person’s race, color, religion, age, sex, national origin, shared ancestry, disability, genetics, veteran status, or any other characteristic protected by federal, state, or local laws) are not relied upon as an eligibility, selection or participation criteria for Tulane’s employment or educational programs or activities.

Tulane University is responsible for providing reasonable accommodations to individuals with disabilities throughout the applicant screening process. If you need assistance in completing an application or during any phase of the interview process, please contact the Office of Human Resources by phone at 504-865-4748 or by email at [email protected] .

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