Credentialing Coordinator

Join VillageMD as a Credentialing Coordinator (Remote)

WHY VILLAGEMD

At VillageMD, we're looking for a Credentialing Coordinator to help us transform the way primary care is delivered and how patients are served. As a national leader on the forefront of healthcare, we've partnered with many of today's best Primary Care Physicians and Advanced Practice Providers. We're equipping them with the latest digital tools. Empowering them with proven strategies and support. Inspiring them with better practices and consistent results.

We're creating care that's more accessible. Effective. Efficient. With solutions that are value-based, physician-driven and patient-centered. To accomplish this, we're looking for individuals who share our sense of excellence, are ready to embrace change, and never settle for the status quo. Individuals who have the confidence to lead but the humility to never stop learning.

OUR CULTURE AND VALUES

VillageMD is a group of collaborative, entrepreneurial and smart people who are united in our goal to improve primary care, making a difference in people's lives.

Get Stuff Done:  We roll-up our sleeves and dive into the details, tackling the work at hand with infectious enthusiasm.  We’re highly accountable for our work and the value we add, inspiring others with our constant ability to deliver results. No challenge is too small or too big.

Build Trust:  We are humbled by those we serve and the importance of our vision. We invest in relationships with open and honest conversation seeking personal connections. We show respect for others in our words and actions. We do what we say we are going to do. We are knowledgeable, but always take the time to listen and learn.

Innovate:  Our curiosity is endless, and challenging the status quo is a priority. New approaches are rewarded and we are always seeking to improve. We know that changing healthcare is hard, and we embrace the challenge.

COULD THIS BE YOU   

As a Credentialing Coordinator, you’ll be supporting all aspects of the payer credentialing, re-credentialing and privileging processes for launching all providers.  In this role, the Credentialing Coordinator is a key liaison between the providers, the payers, and VillageMD. 

How You Will Get Things Done:

• Process initial and recredentialing applications completed by CVO
• Act as customer service liaison, coordinating communications between the applicant and the clinical department as it relates to the credentialing process
• Evaluate applicant’s credentials in accordance with medical staff bylaws and accrediting agencies. (NCQA, CMS, etc)
• Assist in tracking quality and performance improvement data for credentialing practitioners
• Detail and results-oriented, ability to manage and prioritize requests, and effectively communicate
• A willingness to learn, take initiative and be resourceful

How You Will Build Trust:

• Ensure that all credentialing deadlines are clearly communicated, and credentials are maintained for all providers in a timely manner. Ensure compliance with internal/external policies and procedures
• Ability to solve problems, and establish trust
• A low ego and humility; an ability to gain trust through strong communication and doing what you say you will do

How You Will Innovate:

• The ability to be flexible in an ambiguous and dynamic environment
• A bias for action and pragmatic solutions

EXPERIENCE TO DRIVE CHANGE

• High School Diploma or GED required
• 1+ years of experience in a healthcare setting with background in billing and working with various payers required
• Working knowledge of payer credentialing rules and regulations required
• Working knowledge of NCQA and CMS regulatory requirements required
• General knowledge of HIPAA rules and regulations required
• Understanding of how physician payer enrollment affects the revenue cycle preferred
• Background in managing CAQH Provider Profiles preferred
• Knowledge and experience with Medicare and Medicaid provider enrollment applications and processes preferred
• Demonstrated skills in problem solving, analysis and resolution

HOW YOU WILL THRIVE

To help our employees be their best at home and at work, we’re pleased to invest in benefit programs that support their total well-being.

• Physical Well-Being: Comprehensive health plans include medical and prescription, virtual care, dental, and vision benefits
• Mental & Emotional Well-Being: Employee Assistance Program (EAP), Talkspace and access to other premiere mental health tools and applications, bereavement support
• Career: Learning and development, clinician expense reimbursement and continuing medical education allowance
• Personal and Time Off: Paid time off, paid holidays, volunteer time off, parental leave
• Financial Well-Being: 401(k) with match, HSA, FSAs, commuter accounts, team member discounts, life, AD&D and disability, financial & legal consultations

Our unique Village Medical culture – how inclusion and diversity make the difference.

We believe building trust, acceptance and respect is rooted in an understanding that people do not experience things in the same way. Employment candidates are considered without regard to race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

For Colorado Residents only: The base compensation range for this role is $18.00 to $22.00. At VillageMD, compensation is based on several factors including but not limited to education, work experience, certifications, location, etc. This role may be eligible for annual/quarterly bonus incentives (if applicable), and the selected candidate will be eligible for a valuable company benefits plan, including health insurance, dental insurance, life insurance, and access to a 401k plan with company match. 

Explore your future with VillageMD as a Credentialing Coordinator today!