Credentialing Coordinator

The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.

Assisting the Credentialing Coordinator in the Credentialing and Recredentialing of Network Physicians by following through with requests and auditing files. The credentialing coordinator will review files processed by external CVO or processed in-house to verify completeness, contact providers to obtain information for the credentialing process, and also create credentialing profiles and organize provider data.

• High School diploma
• Minimum two (2) years of related experience. Managed Care and/or Credentialing experience preferred.
• Proficient in MS Word, Excel and E-mail applications