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As an Octave Credentialing Coordinator, you will play a vital role in ensuring the timely credentialing and renewal of all providers with payors, while effectively meeting the needs of multiple stakeholders including providers, operations, and revenue cycle teams. With a keen attention to detail and a strong desire to establish and maintain efficient systems, you will work towards achieving the company's strategic objectives. Thriving in a fast-paced, high-growth environment, you will embrace the inherent variability and opportunities it offers, demonstrating initiative and problem-solving skills. This position reports to the Credentialing Manager and is fully remote currently.
Job Responsibility:
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
Requirements:
1+ year experience in credentialing
3 years of experience in a healthcare setting preferred
Experience using various portals and systems, like CAQH, Availity and Salesforce
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
Available to work 8am to 5pm or 9am to 6pm MST or PST
Must be eligible to work in the United States without sponsorship now or in the future
What we offer:
company sponsored life insurance, disability and AD&D plans
Voluntary benefits such as 401k retirement, medical, dental, vision, FSA, HSA, dependent care and commuter/parking options
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