Credentialing Coordinator
LIFEWAYS INC
Summary
Required:
Job description
Essential Duties and Responsibilities
- Assist with the processing and maintaining initial credentialing and re-credentialing files for physicians, mid-level practitioners, and other licensed clinicians.
- Track practitioner applications, verifications, and related credentialing information to ensure files are accurate and complete.
- Monitor and maintain timeliness of all credentialing activities.
- Communicate with practitioners, their office staff, medical staff offices, network management, and provider contracting departments about credentialing status and activities.
- Update expired credentials as required by policies and state and federal regulations.
- Update and maintain an accurate credentialing database.
- Assist in site review audits with various insurance companies and state agencies.
- Prepare files for monthly credentialing activities.
- Prioritize work activities and track progress on all files.
- Assist in development of letters and credentialing related reports or rosters.
- Prepare and participate in any audits regarding credentialing.
- Keep provider files and credentialing documents organized so they meet or exceed all applicable requirements.
Qualifications
Required:
- High School Diploma, GED, or higher
- Managed Care or Medical Insurance experience
- Successful completion of background check
Preferred:
- Medicare experience
- Basic Credentialing knowledge
- Experience in Credentialing Providers, working in Provider Relations, Medical Billing, or Quality Management
- Research & Analysis experience
Requirements
- High School Diploma, GED, or higher
- Managed Care or Medical Insurance experience
- Successful completion of background check
- Medicare experience
- Basic Credentialing knowledge
- Experience in Credentialing Providers, working in Provider Relations, Medical Billing, or Quality Management
- Research & Analysis experience
Benefits
- Medical Benefits
- Health Savings Account
- Dental Benefits
- Vision Benefits
- Flexible Spending Account
- Pet Insurance
- Group Life Insurance
- Supplemental Life Insurance
- Short Term Disability
- Long Term Disability
- 401(k) Matching
- Retirement Planning Services
- Shift Differential Incentives
- Loan Forgiveness Options
- Professional Development
- Paid Time Off
- Sick Leave
- 11 Paid Holidays
- Tuition Reimbursement
- Commuter Mileage Incentive
- Cell Phone Reimbursement
- Clinical Supervision
- Wellness Program Reimbursement
- Employee Assistance Program
Company overview
Lifeways Inc is a mental health care services provider specializing in comprehensive behavioral health solutions. The company focuses on delivering accessible and quality mental health care to individuals and communities through various treatment modalities and support services. As a healthcare provider in the mental health sector, Lifeways likely offers a range of therapeutic interventions, counseling services, and psychiatric care designed to address diverse mental health conditions. The organization operates with a patient-centered approach, emphasizing personalized treatment plans and evidence-based practices to support mental wellness and recovery. While specific operational details are limited, companies like Lifeways typically work to bridge gaps in mental health care accessibility, providing essential services that contribute to overall community health and wellbeing. Their mission likely centers on improving mental health outcomes through professional care, education, and support systems.