Credentialing Coordinator

Job Summary

As an Octave Credentialing Coordinator, you will play a vital role in ensuring the timely credentialing and renewal of all providers with payors, while effectively meeting the needs of multiple stakeholders including providers, operations, and revenue cycle teams. With a keen attention to detail and a strong desire to establish and maintain efficient systems, you will work towards achieving the company's strategic objectives. Thriving in a fast-paced, high-growth environment, you will embrace the inherent variability and opportunities it offers, demonstrating initiative and problem-solving skills.

Available to work the following schedule (hours/days): Monday to Friday: 8am to 5pm OR 9am to 6pm PST (1 hour lunch)

Duties & Responsibilities

• Collaborate with providers to ensure completion of enrollment applications and track the progress across various payor portals.
• Perform primary source verifications during initial and re-credentialing cycles.
• Establish and cultivate relationships with internal and external stakeholder groups.
• Interact with health plans as needed to ensure accurate provider data is present.
• Regularly review and validate provider rosters across various payor partnerships.
• Ensure all internal systems are kept up to date with the most recent provider information.
• Support documentation of processes and procedures.
• Ensures information is complete, accurate, clear, and concise by following process steps outlined in standard operating procedures.
• Performs follow-up to ensure quality of work and/or actions are completed.
• Use AI tools to draft and refine communications in Octave's tone, search existing documentation before escalating questions, and run team-provided AI agents as instructed, improving efficiency and quality.

Required Skills

• Proficiency in Gsuite, MS office and excel
• Strong prioritization skills
• Follows a particular set of instructions given by management or outlined in standard operating procedures.
• Comfortable in an ambiguous, fast paced environment where all processes might not be fully fleshed out
• Effective and empathetic communicator who knows ones audience and can tailor messaging as needed
• Calm and clear in conflict resolution with skill in de-escalation when needed
• Understands the customer and takes a proactive approach to meeting their needs in an effective and timely manner.
• Completes individual objectives that contribute to the department and organizations goals.
• Be a lifelong learner, curious and kind striving towards continuous improvement
• Comfort using AI tools in day-to-day workflows, with a willingness to continuously rethink and improve how work gets done
• Curiosity and openness to experimenting with new tools and approaches

Education & Experience

• 1+ year experience in credentialing, with 3 years of experience in a healthcare setting preferred.
• Experience using various portals and systems, like CAQH, Availity and Salesforce
• Experience using enterprise search or chat tools (such as Glean or Slackbot) to find information and documentation is preferred.