Credentialing Coordinator

Credentialing Coordinator

Credentialing Verification Organization - Plano, TX

Select Medical is seeking a detail-oriented Credentialing Coordinator to support our Credentialing Manager with the full credentialing and re-credentialing process for providers across our outpatient facilities. This role plays a key part in ensuring compliance, accuracy, and smooth onboarding of practitioners.

Position Type: Full-Time | Hybrid

Schedule: MondayFriday | 7:30 am-4:30 pm (CT)

Compensation: $17.00 per hour

Location: Credentialing OP Division

3801 15th Street

Building A, Suite A300

Plano TX 75075

We believe that when employees feel supported, they're able to thrive both in their careers and in their personal lives. In addition to a strong focus on worklife balance, we offer:

• A comprehensive orientation and training program
• Paid Time Off (PTO) and Extended Illness Days (EID)
• Health, dental, and vision insurance, plus life insurance and prescription coverage
• A 401(k) retirement plan with company match
• Short- and long?term disability coverage
• Personal and family medical leave

If you enjoy working on the business side of healthcare, love helping people, and want to be part of a team that changes lives every day, this opportunity is for you. We're excited for you to discover what makes Select Medical such a special place to grow your career!

Responsibilities

• Manage state-specific credentialing activities for providers in our outpatient facilities.
• Prepare and process all credentialing documentation.
• Update and maintain current and accurate practitioner files and database.
• Track and report practitioner changes to appropriate parties.
• Communicate with practitioners, data banks, state licensing and regulatory bodies, educational programs, health plans, and other company divisions.
• Coordinate with health plans to provide practitioner credentialing documentation as required.
• Participate in activities associated with health plan site audits and Credentialing Committee meetings.
• Coordinate training and educational requirements for credentialing staff.
• Provide routine updates and status reports for health plans and other divisions within the company.
• Maintain confidentiality of practitioner information.
• Collaborate with team members to support process improvement and develop policies and procedures.
• Provide routine updates and status reports to health plans and other divisions.
• Coordinate efforts with other credentialing and Managed Care personnel.
• Troubleshoot with internal business operations and Managed Care contracting to resolve accounts receivable delays due to credentialing issues.
• Participate in the development and coordination of departmental CQI initiatives. Perform other duties as assigned.

Qualifications

Minimum Qualifications

• At least 2 years of experience in provider credentialing or other related healthcare field
• Proficient in Windows (Word, Excel, and Access).
• Ability to be professionally assertive with internal and external partners to be influential in finding resolutions.
• Strong oral and written communication skills with the ability to interact professionally and positively within all levels of the organization.
• Detail-oriented with good organizational skills and the ability to maintain accuracy while meeting deadlines and production requirements.
• Excellent interpersonal skills and commitment to quality improvement.
• Professional with the ability to work well independently as well as collaboratively with a team.

Preferred Qualifications

• Prior credentialing experience.
• Knowledge of credentialing processes, terminology, and NCQA standards.
• Strong analytical skills, including process improvement and problem resolution.

Additional Data

Select Medical's Outpatient Division is a nationally recognized, locally focused leader in outpatient physical rehabilitation, with more than 1,900 locations across 46 states and the District of Columbia. Our family of brands includes Select Physical Therapy, NovaCare Rehabilitation, RUSH Physical Therapy, Physio, Kessler Rehabilitation Center, KORT, Saco Bay Physical Therapy, Concentra, and Keystone Physical Therapy.

Across all our centers, our highly respected clinical teams provide preventative and rehabilitative care designed to maximize function and promote overall well-being. By creating individualized treatment plans tailored to each patient's goalsand partnering with physicians, employers, payers, and case managerswe're able to deliver exceptional, cost?effective outcomes. We're also proud to support professional sports teams, colleges, universities, and high schools with physical therapy and athletic training services.

Equal Opportunity Employer, including Disabled Veterans