Credentialing Coordinator

Company: agilon health
Location: Honolulu
Posted on: May 23, 2023

Job Description:

Company:
AHI agilon health, inc.

Location:
Hawaii

Job Title:
Credentialing Coordinator

Job Description:

Position Summary:

This position is responsible for assisting with the credentialing process in accordance with established requirements.

Location:

This is a hybrid position, meaning that this person will split their time working in our Honolulu office and remotely in the Honolulu area.

Essential Job Functions:

• Credential and re-credential physicians, mid-level practitioners, and Health Delivery Organizations (HDOs) as defined by the Health Plans, NCQA, CMS and IPA policy and procedures.
• Prepares correspondence requesting credentialing information from a variety of sources.
• Prepare and coordinate credentialing packets for Medical Director and/or Credentialing Committee review.
• Maintain credentialing files for audit by Health Plans, DHS, or other outside agency as required.
• Update credentialing files as needed.
• Input credentialing and provider data into company database program. Uses internal systems (e.g., database program) to document processing activities and track applicable due dates, including renewal dates for all providers to ensure that credentialing renewals occur in a timely manner.
• Work with Supervisor in the coordination of Quality Management/Grievance information that will be included in provider files.
• Perform other duties as assigned.
  
  Other Job Functions:
  
  • Understand, adhere to, and implement the Company's policies and procedures.
  • Provide excellent customer services skills, including consistently displaying awareness and sensitivity to the needs of internal and/or external clients. Proactively ensuring that these needs are met or exceeded.
  • Take personal responsibility for personal growth including acquiring new skills, knowledge, and information.
  • Engage in excellent communication which includes listening attentively and speaking professionally.
  • Set and complete challenging goals.
  • Demonstrate attention to detail and accuracy in work product.
    
    Required Qualifications:
    
    Minimum Experience
    
    • In depth understanding of credentialing requirements and standards
    • Ability to meet established deadlines
    • Communicate effectively, and achieve high quality results
    • Minimum 1 year experience performing data entry, referral authorization or office assistant tasks in a health care setting
    • Experience in a credentialing department preferred
      
      Education/Licensure:
      
      • High school diploma or general education degree (GED)

Keywords: agilon health, Honolulu , Credentialing Coordinator, Other , Honolulu, Hawaii