Payer Services Credentialing Coordinator

JOIN TEAM TRILOGY

Come make a difference at Trilogy, a leader in senior living. We're looking for a dedicated Payer Services Credentialing Coordinator to join our Home Office Team. Our employees love Trilogy for its stability, meaningful work, and great team! If you're looking to grow your career in a place that cares for and values its employees, Trilogy is where you belong!

POSITION OVERVIEW

Responsibilities: Process initial credentialing and re-credentialing applications timely and to completion. Maintain New Campus Enrollment/Provider Task checklist in accordance with timelines and follow-up dates. Communicate openly and quickly to the Manager of Payer Relations, any issues or updates that hinder or help our campuses and residents. Gather information and documents to complete credentialing applications with health plans. Maintain campus folders with current expiration dates, agreements, communications, etc. Maintain current knowledge of payer credentialing processes, procedures, contact information, timelines, and changes. Accurately document and retain supporting documentation according to standard operating procedures. Identifying discrepancies in information and conducting follow-ups in a timely manner. Assist in maintaining Managed Care agreements in the contract management database. Assist with monitoring the terms and reimbursement criteria for each contract. Monitor and complete Provider Data Management for each campus quarterly for all related payers with accuracy. Ensures all new agreements are added and/or updated into the business office contract matrix. Adds and ensures that managed care payer materials are uploaded to MCO dashboard. Assists with generating, analyzing and/or validating department reports. Assists with documentation requested from internal leaders/departments and external parties. Assists Manager of Payer Relations and Director of Payer Relations and Authorization Services on special projects. Responsible to act as a positive liaison of Trilogy and Provider Relations when communicating with payer reps, campuses, and other third parties, consistently promoting a positive relationship. Qualifications: High School diploma or equivalent. Associate degree preferred or equivalent combination of education, certification, and/or experience. Certified Professional Specialist (CPS) certification preferred Knowledge of medical credentialing and privileging procedures and standards. Minimum of three (3) years of healthcare insurance credentialing experience.

LOCATION

US-KY-Louisville

BENEFITS

Competitive salaries and weekly pay 401(k) Company Match Mental Health Support Program Student Loan Repayment and Tuition Reimbursement Health, vision, dental & life insurance kick in on the first of the month after your start date

HSA/FSA

Monthly Birthday Parties Team Outings And so much more! We are an equal opportunity employer committed to helping you reach your full potential and to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. FOR THIS TYPE OF EMPLOYMENT STATE LAW REQUIRES A CRIMINAL RECORD CHECK AS A CONDITION OF EMPLOYMENT. #J-18808-Ljbffr Trilogy Health Services