Credentialing Coordinator

Job Number: 7388

Workplace Type: Fully Remote

Position Title: Credentialing Coordinator

External Description:

Position Summary:

The Credentialing Coordinator is a fully remote position responsible for supporting provider and facility credentialing activities to ensure that Alignment Health has a provider network of the highest quality. The Credentialing Coordinator will work with the Credentialing team on all aspects of credentialing and re-credentialing including preparing and maintaining reports, communication with providers and internal departments as well as performing database entry of provider and facility information to ensure compliance with regulatory and accreditation requirements.

 General Duties/Responsibilities:

(May include but are not limited to)

• Maintains department files in an organized, accurate, secure manner.
• Process outgoing and incoming requests for credentialing and credentialing inquiries
• Assist the Credentialing Specialists with ongoing monitoring activities.
• Assists with coordinating credentialing files for Committee review.
• Assist with processing Committee review results including system updates, notification letters to providers and internal staff.
• Manage incoming department e-mails
• Perform data entry into databases or systems
• Responsible for health plan provider-related communications
• Respond to internal and external customer inquiries regarding credentialing status.
• Perform other duties, as required, or assigned.

Supervisory Responsibilities:

This job has no supervisory responsibilities.

Minimum Requirements:

Minimum Experience:

• 1-2 years’ experience in the field of primary source verification credentialing in a healthcare environment or equivalent experience performing administrative duties with a clinical focus
• Managed Care Experience preferred
• Minimum of two years professional experience with MS Office Suite- (Word, Outlook, Excel, Access)

Education/Licensure:

• High School Diploma or equivalent

Other:

• Excellent written and verbal communication skills
• Strong organizational skills and accurate work results
• Ability to meet scheduled deadlines with minimal supervision.
• Proficient in Microsoft Office, knowledge of other systems preferred.
• Ability to multi-task and deal with complexity on a frequent basis
• Flexible, team player

City: Remote-US

State: California

Location City: Remote-US

Location State: California

Community / Marketing Title: Credentialing Coordinator

Company Profile:

Alignment Health is revolutionizing health care for seniors by leveraging our world-class technology platform, innovative care delivery models, deep physician partnerships and our serving heart culture! From member experience professionals and clinicians, to data scientists and operations leaders, we have built a talented and passionate team that is deeply committed to our mission of transforming health care for the seniors we serve. Ready to join us?

At Alignment Alignment, delivering exceptional care to seniors starts with ensuring an exceptional experience for our over 1,300 employees. At the center of our employee experience is a culture where employees at all levels and across all teams are encouraged to share their unique ideas and perspectives. After all, when you can bring your authentic self to work, whether that’s in a clinical setting, our corporate office or a home office, creativity and innovation flourish! Another important part of the Alignment culture is a belief in continuous learning and growth. As a result, in this fast-growing company, you will find ample support to grow your skills and your career – with us.

EEO Employer Verbiage:

 Please note: All clinical positions are contingent upon successful engagement with Alignment Health’s COVID-19 Vaccination program (fully vaccinated with documented proof or approved exception/deferral).

Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.

*DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email [email protected].