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Holton

    Credentialing & Enrollment Coordinator - Holton, United States - Holton Community Hospital

    Holton Community Hospital
    Holton Community Hospital Holton, United States

    2 weeks ago

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    Description

    Job Description

    Job Description

    Full Time

    Monday – Friday

    The Credentialing/Enrollment Coordinator works in an independent role overseeing services at Holton Community Hospital, Nemaha Valley Memorial Hospital and Sabetha Community Hospital. This position serves as an essential link and resource between senior management and medical staff to coordinate the operational processes and ongoing credentialing, privileging, and medical staff governance functions for all three facilities. Responsible for review, analysis and follow up of credentialing and privileging applications, maintaining strict confidentiality, and ensuring compliance with organizational policies and accrediting and regulatory agencies. Oversees provider and facility enrollment for all insurance companies, including PECOS. This position will be the point person for updating PECOS for each organization.

    Qualifications

    • Associated Degree preferred. High School diploma required.
    • Must have two years of relevant credentialing experience.
    • Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM), preferred.
    • Working knowledge of credentialing accreditation regulations, policies and procedures, and NCAQ standards, preferred.
    • Health plan experience, preferred.

    Benefits

    • Health
    • Dental
    • Vision
    • Life
    • Retirement Savings with Employer Match
    • Health Savings Accounts, with Employer Match
    • Flexible Spending Accounts, Medical & Dependent Care
    • Supplemental Coverages including Short Term & Long Term Disability, Accident, Hospital Confinement, Cancer
    • Paid Time Off
    • Employee Assistance Program
    • And most importantly, we offer a flexible work environment that supports a healthy work-home life balance.

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