Talent.com
Credentialing Coordinator

Credentialing Coordinator

Steward Health CareDartmouth, MA
30+ days ago
Job type
  • Full-time
Job description

Steward Medical Group at Hawthorn Medical Associates is looking for an experienced, enthusiastic, Credentialing Coordinator  to join our team.

The Credentialing Coordinator performs data collection and data analysis of all credentialing and re-credentialing information of our providers. The successful candidate will :

  • Ensure the integrity of all information required in the application and credentialing process
  • Communicate with internal and external customers by phone and in writing regarding provider information required by payors and license board regulations
  • Will coordinate, process and analyze all information needed to meet the Board of Registration in Medicine, NCQA, and network requirements for credentialing and re-credentialing.
  • Update and analyze provider status as it relates to the network standards and disseminate provider information to all third party payors and other internal departments.

Qualifications :

  • High school diploma or equivalent minimal – Bachelor or Associate’s degree preferred.
  • Knowledge of organizational policies, procedures and systems.
  • Knowledge of research methods and procedures sufficient to compile data and prepare reports. Keen attention to detail including strong knowledge in healthcare required.
  • Skills and Abilities Required :

    Requires frequent verbal and written contact with providers, office staff, RSO’s, third-party payors, hospitals, and internal customers. Potential contact with the Network Medical Director and Credentialing Committee. Coordinator must use discretion when dealing with the Network and all internal departments. Requires confidentiality with regard to provider credentialing and re-credentialing documentation

    We offer you :

  • Paid time off – Vacation, sick, holiday
  • Medical, dental, vision and other elective insurance options
  • Tuition reimbursement
  • 401K with company contribution
  • Supportive culture and professional development
  • Internal growth opportunities
  • Hawthorn Medical Associates, an affiliate of Steward Health Care, was established in 1970 and is the largest multi-specialty group practice in the Greater New Bedford area. We have many of the area’s finest physicians who practice in our state-of-the-art facilities in a campus-like setting. They are supported by a skilled professional and support staff and together provide high quality, comprehensive medical care to more than 138,000 patients each year.

    About Steward Health Care

    Over a decade ago, Steward Health Care System emerged as a different kind of health care company designed to usher in a new era of wellness. One that provides our patients better, more proactive care at a sustainable cost, our providers unrivaled coordination of care, and our communities greater prosperity and stability.

    As the country's largest physician-led, minority-owned, integrated health care system, our doctors can be certain that we share their interests and those of their patients. Together we are on a mission to revolutionize the way health care is delivered - creating healthier lives, thriving communities and a better world.

    Based in Dallas, Steward currently operates more than 30 hospitals across Arizona, Arkansas, Florida, Louisiana, Massachusetts, Ohio, Pennsylvania, and Texas.