Credentialing Coordinator

🔥 4 minutes ago

🌵 Arizona – Remote

🌵 Arizona – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

✨ Credentialing Coordinator

🚫👨‍🎓 No degree required

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Blue Cross Blue Shield of Arizona

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1939

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare Insurance • Insurance • Wellness

Blue Cross Blue Shield of Arizona is a health insurance provider offering a variety of health plans tailored to individuals, families, employers, and Medicare recipients. With a commitment to improving healthcare access and community health, AZ Blue provides self-insured and ACA-compliant health plans, including Medicare Advantage and Medicaid options. The organization focuses on connecting members with care through its extensive network, aiming for better health outcomes and community support.

📋 Description

• Facilitate the accurate and efficient Credentialing and Recredentialing of Medicaid Business Segment providers • Ensure timely and accurate processing of credentialing and recredentialing for both individual practitioners and organizations • Coordinate Credentialing Committee meetings • Identify and communicate agenda items for Credentialing Committee to immediate leader • Facilitate prompt coordination with the Credentialing Verification Organization (CVO) • Review and maintain all applications for accuracy and completeness • Accurately and efficiently data enter primary source verification data into the credentialing database • Generate and mail approval letters to participating providers • Communicate with Network Services regarding status of provider and organizational credentialing

🎯 Requirements

• 2 years of experience in a healthcare field • 2 years of experience in provider credentialing • High-School Diploma or GED in general field of study • Associate's Degree in general field of study preferred • Certified Provider Credentialing Specialist (CPCS) preferred

🏖️ Benefits

• Health insurance • Flexible work arrangements