Credentialing Coordinator

job
  • Nevada Behavioral Health Systems
Job Summary
Location
Las Vegas ,NV 89129
Job Type
Contract
Visa
Any Valid Visa
Salary
PayRate
Qualification
BCA
Experience
2Years - 10Years
Posted
18 Feb 2025
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Job Description
Currently seeking a Credentialing Coordinator in the Las Vegas area!

This is an exciting opportunity as NBH Group is growing, and we are seeking amazing, dedicated individuals to be a part of that growth!



*Tasks*
* Compiles and maintains current and accurate data for all providers.
* Completes provider credentialing and re-credentialing applications; monitors applications and follows-up as needed.
* Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers.
* Sets up and maintains provider information in online credentialing databases and system.
* Ability to follow PHI, HIPAA and other security guidelines
* Assisting in the preparation and submission of initial credentialing applications for healthcare providers.
* Gathering and verifying provider information, including education, licensure, certifications, and professional references.
* Maintaining accurate provider credentialing records and ensuring data integrity in credentialing systems.
* Collaborating with internal departments to collect required documentation and information for credentialing purposes.
* Conducting primary source verification of provider credentials, such as contacting educational institutions and licensing boards.
* Monitoring the expiration dates of provider credentials and initiating re-credentialing processes in a timely manner.
* Assisting in the coordination of peer review activities and committee meetings related to provider credentialing.
* Responding to inquiries from providers and internal stakeholders regarding the status of credentialing applications.
* Supporting compliance with regulatory requirements, accreditation standards, and payer credentialing criteria.
* Maintaining confidentiality and privacy of sensitive provider information throughout the credentialing process.

*Qualifications*
* 1 or more years relevant experience
* Business office experience required. Healthcare, provider enrollment or managed care organization experience is preferred.
* HS diploma required. Bachelors degree in healthcare administration, business, or a related field is preferred.
* Additional certifications in credentialing or contracting are beneficial

*Other Skills/Abilities*
* Strong verbal and written communication skills
* Ability to endure large volumes of data entry & information management
* Strong time management skills
* Attention to detail
* Leadership qualities

Job Type: Full-time

Pay: From $22.00 per hour

Benefits:
* 401(k)
* Dental insurance
* Health insurance
* Life insurance
* Paid time off
* Vision insurance
Schedule:
* Monday to Friday



Application Question(s):
* How many years of credentialing experience do you have?

Education:
* High school or equivalent (Required)

Work Location: In person
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