Job description

Title: Credentialing Coordinator

OakLeaf Clinics – Business Office has an exciting opportunity to join our growing team as a Credentialing Coordinator.

OakLeaf Clinics is dedicated to providing our patients with compassion, trust, and a lifetime of individualized care. Our healthcare team consists of physicians, nurse practitioners, physician assistants, dietitians, nurses, respiratory therapists and medical assistants working in concert with laboratory/imaging services to offer individualized care to the Chippewa Valley.

Position Description:

The Credentialing Coordinator is responsible for completing credentialing of providers within OakLeaf Clinics. You will organize, maintain, and verify all aspects of the process, and maintain current files on practitioners. You will track the expiration of certifications to maintain up to date files and assist health plan providers and customers with phone inquiries. Other tasks include, but are not limited to, data entry, payment posting, and follow up calls to patients for collecting outstanding balances.

Responsibilities

· Perform all activities related to credentialing and re-credentialing, including, but not limited to, determining an applicant's eligibility for membership and privileges; analyzing applications and supporting documents for completeness and accuracy; timely processing applications for membership and/or privileges; and ensuring hospital standards, state and federal law, and accrediting standards are met

· Monitor provider credentials, licenses, certifications, and memberships to ensure records are current and consistent with regulations and policies

· Maintain reports and database of credentialing activities such as accreditation, memberships, licensure, or facility privileges

· Participate in the development of internal credentialing processes and procedures

· Process applications and reappointment paperwork, validating completeness and accuracy

· Maintain databases with pertinent education, training, experience, and licensure content

· Act as credentialing liaison for the organization, its providers and partner hospitals and 3rd party payors

· Maintains approachable and positive attitude interacting with all levels of personnel in a rapidly changing environment

· Complete other various administrative duties as assigned

Qualifications:

• High School Diploma or GED - Required
• Associate’s or Bachelor’s Degree Health Care Administration or related field- Preferred
• 3 years Clinic/Physician Practice credentialing experience Preferred or 3 years Hospital and/or Healthcare Related experience
• CMSC (Certified Medical Staff Coordinator) or CPCS (Certified Provider Credentialing Specialist) Preferred
• Experience in working with sensitive and highly confidential information
• Must have excellent verbal and written communication skills
• Strong organizational skills and detail oriented
• Self-starter and ability to drive process improvement

Work Environment

While performing the duties of this job, the employee regularly works in an office setting.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

Major activities of this job include frequent sitting for extended periods of time, some walking or standing, and light physical effort performed on a level surface. Some carrying, lifting, kneeling, bending, reaching, and squatting are involved in the medical office. Use a computer and telephone and employ writing and organizational skills. Manual dexterity, mobility and good vision that includes near acuity, depth perception and accommodation are physical requirements necessary for technical work.

Benefits:

OakLeaf Clinics offers a competitive salary and comprehensive benefits package!

• Generous Paid Time Off
• Paid Holidays
• Exceptional Retirement Savings Plan
• Health/Dental/Vision Insurance
• Short-Term Disability Insurance

Monday through Friday, Full Time 40 hours/week

Starting Rate: $24.00/Hour

Job Type: Full-time

Pay: $20.50 - $24.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• AD&D insurance
• Dental insurance
• Disability insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Ability to commute/relocate:

• Eau Claire, WI 54701: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Computer skills: 1 year (Required)
• Microsoft Word: 1 year (Required)
• Credentialing: 2 years (Required)

Work Location: One location

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