You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.
Job Summary
Our client is seeking a dedicated Credentialing Coordinator responsible for overseeing all aspects of client credentialing proposals, MSAs, SOWs, and RFPs. This role requires the ability to partner with clients to implement service solutions and ensure successful delivery of contracted services and communications.
Key Responsibilities
- Develop, manage, and assist with client credentialing proposals and contracts.
- Partner with clients to identify and implement service solutions.
- Ensure successful delivery of contracted services and manage communications and presentations.
- Provide input on payer contract issues, recommend enhancements, and support negotiations.
- Lead onboarding for new clients and maintain internal onboarding documents.
- Enter new providers into credential applications and manage ongoing data.
- Monitor and document third-party payer application processes.
- Maintain provider credentialing information and ensure compliance with applicable standards.
- Develop training strategies and guides for internal and external use.
Qualifications
- Minimum 2 years of credentialing experience.
- Knowledge of credentialing concepts, practices, and procedures.
- Proficient in MS Office Suite and ability to perform basic troubleshooting.
- Comfortable working 30 hrs/week, within Central Standard Time
Skills
- Excellent customer service skills.
- Technical skills, including experience with credentialing software such as PECOS, MedTrainer, and Modio Health.
- Able to independently resolve issues and maintain effective working relationships.
Benefits
- Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
- Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
- 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
- Short Term Disability Insurance.
- Term Life Insurance Plan.
Required Employment / Compliance Language
All candidates must be eligible to work in the United States without sponsorship. Medix is an Equal Opportunity Employer.
*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
Medix Overview:
With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.
*As a job position within our Revenue Cycle division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: accessing financial and confidential information, handling financial and other payment data, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
