Medical Insurance Credentialing Coordinator

At St. Joseph Medical Center, our dedicated team of professionals is committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, St. Joseph Medical Center is actively seeking new members to join its award-winning team!

Founded in 1874 by the Sisters of St. Joseph of Carondelet, St. Joseph Medical Center has a long tradition of providing high-quality, compassionate care. Its Catholic heritage and the spirit of our founding Sisters continue today in our mission of caring for the community. The Diocese of Kansas City-St. Joseph is the Catholic Sponsor for St. Joseph Medical Center, under the leadership of his Excellency Bishop James V. Johnston, Jr.

St. Joseph Medical Center has received numerous awards for its quality and clinical excellence. We believe that continuous quality of care and performance improvements are the foundation for preserving and enhancing healthcare delivery. For information, visit www.stjosephkc.com.

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

Shift: Full Time

Schedule: Days

The Medical Insurance Credentialing Coordinator is responsible for tracking provider enrollments, re-credentialing, and new contract applications with commercial and government health plans.

Perform CAQH maintenance.

Effectively communicate the contracting and enrollment process, addressing and providing regular updates to Regional Directors.
• Possess comprehensive knowledge of managed care company and plan requirements.
• Monitors and maintains websites for pending revalidations and credentialing requests.

EDUCATION, EXPERIENCE, TRAINING

1. Associates degree preferred or equivalent education/experience.

2. Certified Provider Credentialing Specialist (CPCS) preferred

3. Must have strong computer, communication, and writing skills.

4. Must be proficient in Microsoft Office: Word, Excel, and PowerPoint.

5. Must exhibit a positive attitude and willingness to learn. 6. Knowledge of managed care plans, PECOS, NPPES,CAQH

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