Credentialing Coordinator

Summary

Join Octave as a Credentialing Coordinator and ensure timely credentialing and renewal of providers with payors. Collaborate with providers to complete enrollment applications, perform primary source verifications, and cultivate relationships with stakeholders. Interact with health plans, regularly review provider rosters, and maintain updated internal systems. Support documentation of processes and procedures, ensuring information accuracy. This fully remote position reports to the Credentialing Manager and thrives in a fast-paced environment.

Requirements

Experience using various portals and systems, like CAQH, Availity and Salesforce

Responsibilities

• Collaborate with providers to ensure completion of enrollment applications and track the progress across various payor portals
• Perform primary source verifications during initial and re-credentialing cycles
• Establish and cultivate relationships with internal and external stakeholder groups
• Interact with health plans as needed to ensure accurate provider data is present
• Regularly review and validate provider rosters across various payor partnerships
• Ensure all internal systems are kept up to date with the most recent provider information
• Support documentation of processes and procedures
• Ensures information is complete, accurate, clear, and concise by following process steps outlined in standard operating procedures. Performs follow-up to ensure quality of work and/or actions are completed

Preferred Qualifications

• 1+ year experience in credentialing, with 3 years of experience in a healthcare setting preferred
• Proficiency in Gsuite, MS office and excel
• Strong prioritization skills
• Follows a particular set of instructions given by management or outlined in standard operating procedures
• Comfortable in an ambiguous, fast paced environment where all processes might not be fully fleshed out
• Effective and empathetic communicator who knows ones audience and can tailor messaging as needed
• Calm and clear in conflict resolution with skill in de-escalation when needed
• Understands the customer and takes a proactive approach to meeting their needs in an effective and timely manner
• Completes individual objectives that contribute to the department and organizations goals
• Be a lifelong learner, curious and kind striving towards continuous improvement

Benefits

• Company sponsored life insurance, disability and AD&D plans
• 401k retirement
• Medical, dental, vision, FSA, HSA, dependent care and commuter/parking options
• Paid Time Off
• Paid parental leave benefits