VIVA HEALTH · 3 weeks ago
Credentialing Coordinator
Birmingham, Alabama, United States
Full-time
Hybrid
Mid Level
3+ years expVIVA HEALTH, part of the University of Alabama at Birmingham Health System, is a health maintenance organization focused on providing quality healthcare. They are seeking a Credentialing Coordinator responsible for credentialing and re-credentialing practitioners and ensuring their qualifications to participate in the provider network.
Health CareInsurance
Responsibilities
Receive, interpret and incorporate Council for Affordable Quality Healthcare (CAQH) provider data into the credentialing, re-credentialing, and provider data auditing process
Use CAQH data and credentialing software findings to make credentialing decisions regarding providers
Analyze trends in monthly credentialing data to forecast workload for CAQH
Communicate with internal departments to ensure quality assurance findings related to providers are reviewed and acted upon accordingly
Qualification
Required
Bachelor's Degree or equivalent experience in credentialing
3 years of experience in credentialing
Ability to analyze and solve problems related to credentialing of providers and facilities
Proficient in manipulation of data to report statistical information to several of departments
Ability to work independently, research and resolve processing issues in a timely manner with little to no supervision
Organized, detail oriented, and skilled at multi-tasking
Demonstrate excellent customer service skills through written and verbal communication
Proficient in the Microsoft Office suite of products
Knowledge of credentialing software, CAQH, CMS, NCQA guidelines, and JCAHO regulations
Benefits
Comprehensive Health, Vision, and Dental Coverage
401(k) Savings Plan with company match and immediate vesting
Paid Time Off (PTO)
9 Paid Holidays annually plus a Floating Holiday to use as you choose
Tuition Assistance
Flexible Spending Accounts
Healthcare Reimbursement Account
Paid Parental Leave
Community Service Time Off
Life Insurance and Disability Coverage
Employee Wellness Program
Training and Development Programs to develop new skills and reach career goals
Employee Assistance Program
Company
VIVA HEALTH
VIVA HEALTH is the preferred healthcare provider which provides Health Insurance, Medicare, Medicaid and Healthcare.
501-1000 employees
Funding
Current Stage
Late StageLeadership Team
C
Cardwell Feagin
COO
Recent News
2025-05-16
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