Coordinator, Insurance Credentialing

Regional Credentialing - 108037 Winchester, Virginia Full-Time


Description

  • Entity:
  • Shift: Day

Who We Are

Valley Health System is a not-for-profit network of hospitals, urgent cares, physician practices, and services. Expanding across Virginia, West Virginia, and Maryland, we are devoted to the health of all who call our 18-county area home.

A vital resource for healthcare, we are the region’s largest employer, a dependable community partner, and are at the leading edge of clinical innovations.

We are looking for passionate, innovative, and caring people who will each bring their unique skills and perspectives to our workplace.

What You Will Do:

The Coordinator, Insurance Credentialing will be responsible for coordinating provider enrollment and re-credentialing activities for Valley Health. Position will require confidentiality, professionalism and accountability be held as it has significant access to confidential employee, patient, organizational, and financial information. Individual must act independently and in an organized fashion to coordinate activities related to provider enrollment and credentialing as well as maintain follow-up correspondence related to those activities. This could include but not limited to reviewing incoming or outgoing documentation, preparing and updating various reports and summaries, keeping the CAQH (Council for Affordable Quality Healthcare) database up to date, answering telephone calls, responding to emails and faxes in a timely fashion.

What You Will Bring:

Education

High School Diploma or equivalent required
Education beyond high school level or work experience demonstrating administrative skills required

Experience
Two to five years previous office experience

Certification & Licensures
National Association Medical Staff Services (NAMSS) Credentialing Specialist Certification (CPCS) preferred

Qualifications
• Proficient in spelling, grammar and punctuation • Proven database management skills • Knowledge of Microsoft Word, Excel and PowerPoint preferred • Strong situation analysis skills and ability to communicate effectively on a wide range of levels. • Excellent Critical Thinking, Time-Management, and Communication skills • Exceptional interpersonal skills to interact professionally with staff, physicians, consumer, surveyors, and public officials • Must exhibit competency in credentialing software within 30 days of hire • Knowledge of medical terminology • Current knowledge of Joint Commission and NCQA standards and credentialing process

What You Will Get:

- Competitive salary
- Flexible scheduling
- Onsite Childcare (available at some locations)
- Health Insurance
- Paid Time Off
- Wellness Program
- Tuition Assistance
- Retirement Plan
- Life Insurance

*some benefits are subject to change due to job status

We celebrate, support, and thrive on our differences for the benefit of our employees, our patients, and the communities we serve.
We are neighbors caring for neighbors, and our goal is always to help those we serve get well, feel well, and stay well.

EOE

Criminal Background Checks
VA State Police
3rd party Background Check

FLSA Classification
Non-exempt

Grade
111

Physical Demands
6 A Customer Service