Credentialing Coordinator, Credentialing

Job Description Health Plan Network Coordinator A Little More About What You Will be Doing With the interest of optimizing payor network participation, the Health Plan Network Coordinator is responsible for ensuring physicians are properly registered with contracted, non-contracted commercial and other payors as needed. Primary Duties and Responsibilities Gather needed documents from MNS Credentialing Department or physician clientele. Act as MNS distribution point to report individual provider data to contracted health plans. Coordinate and prepare provider applications with contracted payors, as needed. Maintain panel status and other payor correspondence records for each physician. Assist physicians, secretaries, and other assigned staff with application procedures, as needed. Submit applications to payors and track their progress in registering physicians. Use spreadsheet to track and publish (intranet) provider status with form completion and payor registration. Periodically audit payor reports and provider listings to ensure accurate and complete participation of MNS-represented physician networks. Assist with the proper maintenance of Credentialing database and other internal tracking mechanisms. Special projects as assigned. Why Work Here? Beyond outstanding employee benefits—including health and dental insurance, vacation, and a 403(b)—we take pride in hiring the best employees. Our accomplished staff reflects the culturally and ethnically diverse community we serve. They are proof of our dedication to creating a dynamic, inclusive environment that fuels innovation. Qualifications Education High School Diploma/GED required Associate Degree/College Diploma preferred Work Experience 2 years billing or provider network management experience, preferably in a managed care environment. #J-18808-Ljbffr Academy of Managed Care Pharmacy