Credentialing Coordinator

Summary

MJHS, through its Elderplan Medicare and Medicaid managed care health plans, is seeking a Credentialing Coordinator to support provider and network contracting activities. The role assists with the credentialing and recredentialing of network physicians by auditing files, obtaining information from providers, creating credentialing profiles, and organizing provider data.

Responsibilities

• Assisting the Credentialing Coordinator in the Credentialing and Recredentialing of Network Physicians by following through with requests and auditing files
• The credentialing coordinator will review files processed by external CVO or processed in-house to verify completeness, contact providers to obtain information for the credentialing process, and also create credentialing profiles and organize provider data

Skills

• High School diploma
• Minimum two (2) years of related experience
• Proficient in MS Word, Excel and E-mail applications
• Managed Care and/or Credentialing experience preferred

Qualifications

Must Haves

• High School diploma
• Minimum two (2) years of related experience
• Proficient in MS Word, Excel and E-mail applications

Nice to Haves

• Managed Care and/or Credentialing experience preferred

Benefits

• Office/Remote-based
• Tuition Reimbursement for all full and part-time staff
• Generous paid time off, including your birthday!
• Affordable and comprehensive medical, dental and vision coverage for employee and family members
• Two retirement plans! 403(b) AND Employer Paid Pension
• Flexible spending
• MJHS companies are qualified employers under the Federal Government’s Paid Student Loan Forgiveness Program (PSLF)