Colorado Coalition for the Homeless · 13 hours ago
Credentialing Coordinator - 10805
Denver, CO
Full-time
Hybrid
Entry, Mid Level
$26/hr - $30/hr
2+ years expThe Colorado Coalition for the Homeless is dedicated to preventing homelessness and providing solutions for at-risk families and individuals. They are seeking a Credentialing Coordinator to facilitate the credentialing process for employees and volunteers, ensuring compliance with regulatory standards and maintaining necessary databases.
Health CareNon Profit
Responsibilities
Facilitates all aspects of credentialing and privileging for initial appointments, reappointments, and reprivileging of providers and volunteers
Processes initial credentialing and reappointments for all agency health professionals (employees and volunteers) in a timely manner and supports the provider’s onboarding to Committee/Board approval
In coordination with Health Services Committee, applies working knowledge of, and proactively reports changes in, all applicable standards, laws, regulations, and Credentialing and Privileging Policies and Procedures
Validates that all required credentialing elements are accurate and completed in a timely manner
Prepares, processes, and maintains CCH location and staff or volunteer provider enrollments with Medicare, Medicaid, DentaQuest, Denver Health, Colorado Access, Beacon, TriWest, and other third-party payer plans
Performs complete file reviews for credentialing and enrollment audits
Manages provider expirables to email notices and document updates in electronic files
Maintains CCH locations and provider information updating for payer enrollments and NPI and CAQH profiles
Performs provider locations’ linking for Medicaid, Medicare, and all other payer enrollment or disenrollment functions
Serves as CCH liaison to third-party payer plans for the credentialing and audits of providers through CAQH Proview
Compiles, prepares, and maintains provider NPIs, CAQH, Licensures, DEAs, and payer approval data for rosters or PIWs
Responsible for preparing reports and collecting provider data for projects and supporting other departments in such requests
Create and manage location/provider/payer Dashboard for internal departments to access
Coordinates provider privileging and enrollment approvals in global email distributions and to Revenue Cycle Department
Performs other duties as assigned
Participates in organizational projects or activities pertaining to Credentialing and privileging with various CCH departments such as Human resources, QA, DATA, IT, and operations, and workforce development, as required; promotes good working relationships with all CCH and RPMC staff
Makes him/herself available by cell phone to assist providers, CCH staff, and the Credentialing and Privileging Committee Members
Maintains for confidentiality of providers’ information, accuracy, and integrity of all databases and reporting
Other duties as assigned
Qualification
Required
Two plus years health care credentialing and/or provider enrollment experience
Bachelor's degree or relevant work experience may substitute for advanced education
Must be a Colorado resident
Valid driver's license required
Benefits
Choice of HMO or PPO health insurance coverage options: full-time employees contribute only 1% of their earnings for their own HMO health coverage and no more than 4% of their earnings for coverage of eligible dependents.
Choice of dental insurance or discount plan.
Vision insurance.
Flexible spending accounts for health care / dependent care / parking expenses.
Free basic life and AD&D insurance coverage.
Employee Assistance Program, a problem-solving resource available to you and your household members.
Dollar-for-dollar retirement plan matching contributions up to 5% of earnings with 3-year vesting.
Extensive paid time-off, including 9 holidays, 12 days of sick leave, and three weeks of vacation for new full-time employees in their first year.
Company
Colorado Coalition for the Homeless
The mission of the Colorado Coalition for the Homeless is to work collaboratively toward the prevention of homelessness and the creation of lasting solutions for families and individuals experiencing or at-risk of homelessness throughout Colorado.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Caring for Denver Foundation
2022-12-14Grant
2021-11-19Grant
Leadership Team
Pete Stoller
Chief Financial Officer
Cathy Alderman (She/Her)
Chief Communications and Public Policy Officer
Recent News
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