Coordinator, Managed Care, Credentialing

The Coordinator, Managed Care, Credentialing oversees the credentialing and enrollment activities for medical practices, ensuring optimal reimbursement through interactions with payers. Key responsibilities include:

• Document and track all credentialing and enrollment activities within the credentialing platform
• Maintain and monitor all licenses and certifications to ensure compliance
• Coordinate provider enrollment activities, including initial and re-credentialing
• Ensure all facility and provider licenses and certifications are accurate and in good standing
• Complete hospital privilege forms as necessary
• Meet deadlines for processing and reporting
• Regularly update progress and status with Credentialing Supervisor and team members

Qualifications include at least three years of experience in credentialing or payer enrollment, preferably in a managed care or provider setting. Specific knowledge of the payer environment and ability to work independently and as part of a team are essential. Excellent customer service and communication skills are also required.

Preferred qualifications include:

• Specific knowledge of the payer environment and payer issues
• Working experience with Excel spreadsheets and Microsoft Word documents
• A college degree or commensurate working experience in healthcare
• Knowledge of basic medical terminology
• Credentialing database experience (such as IntelliCred, E-Vips, Vistar, Cactus, Symed, etc.)

Cardinal Health offers a comprehensive benefits package including medical, dental, and vision coverage, paid time off, a 401(k) savings plan, and more. The anticipated pay range is $18.20 - $29.70 per hour, with bonuses available and opportunities for advancement. Applicants are encouraged to apply as soon as possible.