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Credentialing Coordinator - DBN

Health Care Service Corporation
United States, Michigan, Southfield
25925 Telegraph Road (Show on map)
Nov 10, 2024

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary Credentialing Coordinators ensure the delivery of high-quality care to our members by monitoring and maintaining the integrity of dental provider data in compliance with industry standards and regulatory requirements. Provides integral support to dental operations by enabling timely onboarding of dental providers. Main responsibilities include interacting with dental health care providers in a professional manner to collect required data and utilization of various search functions and databases in order to perform comprehensive and detailed reviews of required licensures, certifications, background searches and training records. Under limited supervision, this position is also responsible for processing, analyzing and delivering various reports and updates within strict deadlines. Works with the Credentialing and Clinical Review teams to ensure provider audits are completed in an accurate and timely manner, and may work on related special projects, as assigned.

JOB REQUIREMENTS:

* Bachelor's degree and 5 years of credentialing, health provider relations or related experience OR 9 years of credentialing, provider relations or healthcare administration related experience

Knowledge, Skills and Abilities

* Ability to communicate effectively both orally and in writing.

* Customer service skills.

* Ability to respond to emails timely and effectively.

* Information research skills.

* Knowledge of dental provider credentialing and accreditation principles, policies, processes, procedures, and documentation.

* Working knowledge of clinical and/or hospital operations and procedures.

* Ability to use independent judgment and to manage and impart confidential information.

* Ability to maintain confidentiality and discretion in all communications on behalf of credentialing applicants and/or applications.

* Ability to make administrative/procedural decisions and judgments.

* Demonstrated advanced working knowledge of Microsoft Word and Excel.

* Ability to learn new applications to function effectively

* Skill in establishing priorities with independent coordination of day-to-day aspects.

* Advanced skills in computerized spreadsheeting and database management.

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

HCSC Employment Statement:

We are an Equal Opportunity Employment / Affirmative Action employer dedicated to providing an inclusive workplace where the unique differences of our employees are welcomed, respected, and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range$39,900.00 - $88,800.00
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