WVU Medicine
10,000+ employees
âď¸ Healthcare Insurance
Healthcare Insurance
WVU Medicine is a comprehensive health system affiliated with West Virginia University, providing medical services through a network of hospitals across West Virginia. The system includes notable facilities such as J. W. Ruby Memorial Hospital, WVU Medicine Children's, and various other regional medical centers. WVU Medicine offers a wide range of healthcare services, including specialized and advanced medical treatments such as robotic heart surgery. It's also involved in medical education, research, and community health initiatives, emphasizing a mission of delivering high-quality care to the communities it serves.
Credentialing Coordinator
đĽ 0 minutes ago
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WVU Medicine
10,000+ employees
âď¸ Healthcare Insurance
Healthcare Insurance
WVU Medicine is a comprehensive health system affiliated with West Virginia University, providing medical services through a network of hospitals across West Virginia. The system includes notable facilities such as J. W. Ruby Memorial Hospital, WVU Medicine Children's, and various other regional medical centers. WVU Medicine offers a wide range of healthcare services, including specialized and advanced medical treatments such as robotic heart surgery. It's also involved in medical education, research, and community health initiatives, emphasizing a mission of delivering high-quality care to the communities it serves.
đ Description
⢠Responsible for timely payer credentialing and/or recredentialing of providers ⢠Monitors expiring documents and monthly monitoring of sanctions ⢠Coordinates provider credentialing by tracking applications and keying data into the credentialing program ⢠Performs primary source verification of provider information ⢠Reviews and analyzes credentialing applications and prepares correspondence requesting additional or missing information
đŻ Requirements
⢠High School diploma or equivalent and one (1) year of administrative related experience OR Associates, Bachelors or Masters degree in lieu of experience ⢠Knowledge of NCQA and CMS regulations regarding provider credentialing.
đď¸ Benefits
⢠Competitive salary ⢠Professional development opportunities
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