University Health KC · 1 day ago
Credentials Coord-Provider Enrollment-Team Lead
Lees Summit, MO
Full-time
Onsite
Mid Level
3+ years expUniversity Health KC is seeking a Credentials Coordinator – Provider Enrollment to ensure that providers are properly credentialed and enrolled, allowing them to focus on patient care. This role involves managing the full lifecycle of provider credentialing and enrollment, coordinating with various stakeholders to maintain accurate records and support departmental operations.
Health CareHospitalMedicalRehabilitation
Responsibilities
Coordinate initial credentialing, reappointments, and recredentialing for Medicare, Medicaid, and Managed Care organizations
Prepare, review, submit, and track credentialing and payer enrollment applications, including CAQH
Perform all phases of delegated credentialing, including audits, reports, rosters, and database queries
Maintain accurate and up-to-date provider records within credentialing software and paper files
Track credentialing activity status and follow up with payers to ensure timely approvals
Record provider billing numbers and communicate updates to professional billing and revenue integrity teams
Prepare correspondence, verification requests, reappointment materials, and credentialing packets
Serve as a professional point of contact for medical staff, department leaders, managed care representatives, and administrative partners
Support departmental operations through administrative tasks such as scanning, filing, and mass mailings
Promote quality improvement, patient safety, compliance, and cultural diversity through daily work
Qualification
Required
High School Diploma or equivalent
Certified Professional Credentialing Specialist (CPCS) or equivalent
At least 3 years of experience in medical staff credentialing, managed care credentialing, or a related area
Strong computer skills with exceptional attention to detail and accuracy
Ability to manage multiple priorities and meet deadlines
Sound independent judgment and the ability to work constructively with physicians and professionals
Preferred
Experience with medical staff credentialing or delegated credentialing in a medical center setting
Company
University Health KC
University Health (UH) has all the things you expect from a great health system.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
$1MKey Investors
McCombs Enterprises
2023-06-01Grant· $1M
Leadership Team
Harold Siglar
Chief Executive Officer
Rob Jones
Chief Technology Officer
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