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Select Medical

Inpatient and outpatient rehabilitation services network

Credentialing Coordinator

Clerical & Data EntryConfirmed live in the last 24 hours
Full-timePlano, TX, USA$17 /hr

About the Job

Requirements

  • At least 2 years of experience in provider credentialing or another related healthcare field.
  • Proficiency in Windows, including Word, Excel, and Access.
  • Ability to be professionally assertive with internal and external partners to influence resolution of issues.
  • Strong oral and written communication skills and the ability to interact professionally and positively across all organizational levels.
  • Detail-oriented with good organizational skills and the ability to maintain accuracy while meeting deadlines and production requirements.
  • Excellent interpersonal skills and commitment to quality improvement.
  • Ability to work independently and collaboratively with a team.

Responsibilities

  • Manage state-specific credentialing activities for providers in outpatient facilities.
  • Prepare and process credentialing documentation.
  • Update and maintain current and accurate practitioner files and databases.
  • Track and report practitioner changes to appropriate parties.
  • Communicate with practitioners, data banks, state licensing and regulatory bodies, educational programs, health plans, and other company divisions.
  • Coordinate with health plans to provide practitioner credentialing documentation as required.
  • Participate in activities associated with health plan site audits and Credentialing Committee meetings.
  • Coordinate training and educational requirements for credentialing staff.
  • Provide routine updates and status reports for health plans and other company divisions.
  • Maintain confidentiality of practitioner information.
  • Collaborate with team members to support process improvement and develop policies and procedures.
  • Coordinate efforts with other credentialing and Managed Care personnel.
  • Troubleshoot with internal business operations and Managed Care contracting to resolve accounts receivable delays caused by credentialing issues.
  • Participate in the development and coordination of departmental continuous quality improvement initiatives.
  • Perform other duties as assigned.

Desired Qualifications

  • Prior credentialing experience.
  • Knowledge of credentialing processes, terminology, and National Committee for Quality Assurance (NCQA) standards.
  • Strong analytical skills, including process improvement and problem resolution.

About the Company

Select Medical

Inpatient and outpatient rehabilitation services network

Select Medical operates a network of hospitals and rehabilitation centers across the United States, providing critical illness recovery, inpatient rehabilitation, and outpatient rehabilitation. It coordinates patient care from acute treatment through recovery using both inpatient and outpatient programs, with revenues from patient services, insurance reimbursements, and healthcare partnerships. The organization distinguishes itself with a focused rehabilitation specialty, a large nationwide footprint, and a commitment to employee development and work-life balance to maintain high-quality care. Its goal is to help patients regain independence and return to daily life through effective, patient-centered rehabilitation and recovery services.

Company size
10,001+
Company stage
IPO
Headquarters
Mechanicsburg, PA
Founded
1996

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