Job description

This is an excellent opportunity for a motivated individual, who is looking for the next
step in their career in a dynamic organization. MyCHN is seeking a full-time Credentialing Coordinator this role will conduct all aspects of third-party credentialing for providers and facilities in accordance to FQHC and third-party insurance standards. The ideal candidate will be responsible for keeping records related to insurance contracts and staff credentials. The Credentialing Coordinator must keep in contact with staff and insurance companies to ensure that they have all the necessary documents and inform them of any changes in contracts and policies.

At MyCHN, we are determined to create extraordinary experiences for our patients and our employees. Our objective is to provide opportunities that develop and grow careers in a team-oriented environment focused on patient care.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Maintain knowledge of current health plan and agency requirements for

credentialing providers.

• Obtain/Maintain current copies of all state licensure, board certifications (if

applicable), DEA certificates, and all other required documents for credentialing.

• Prepare and maintain reports of credentialing activities such as accreditation,

membership, or facility privileges via credentialing platform or spreadsheet.

• Complete provider credentialing and credentialing applications; monitors

applications and follows-up as needed.

• Process and file applications with third party payors according to each payor’s

individual requirements and addresses/correct discrepancies as requested bypayors.

• Collaborate with Credentialing Coordinator II to accomplish all credentialing and

privileging tasks.

• Other duties as assigned within scope.

QUALIFICATIONS:

• Bachelor’s College Degree preferred
• At least three years’ experience in capacity as credentialing coordinator or

credentialing specialist.

• CPCS or CPMSM Certification highly preferred or working towards certification(s).
• Strong team player with a focus on collaboration.
• Excellent verbal, analytic and writing skills.
• Excellent computer skills using Word, Excel, PowerPoint and other programs.
• Ability to respond effectively to the most sensitive inquiries or complaints.
• Ability to handle multiple projects simultaneously.
• Consumer advocate for quality health care and services.
• Preferred - Experience in the health care field (primary or acute care).
• Preferred - Experience working with non-profit organizations.

EEO Equal Employment Opportunity:

MyCHN is committed to recruiting and retaining a diverse workforce and providing a work environment that is free from discrimination, harassment, and bullying based upon any legally protected status or protected characteristic, including but not limited to an individual's sex, race, color, ethnicity, national origin, age, religion, disability, sexual orientation, genetic information, veteran status, gender identity, or pregnancy.

Job Type: Full-time

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Day shift
• Monday to Friday
• Weekend availability

Ability to commute/relocate:

• Alvin, TX 77511: Reliably commute or planning to relocate before starting work (Required)

Application Question(s):

• Do you have knowledge of current health plan requirements for credentialing?

Education:

• High school or equivalent (Required)

Experience:

• EMR systems: 1 year (Preferred)
• Credentialing: 1 year (Preferred)

Shift availability:

• Day Shift (Required)

Work Location: One location

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