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Credentialing Coordinator - Hospital Onsite

Company: Guidehouse
Location: Birmingham
Posted on: May 27, 2023

Job Description:

Job Family:
General Coding

Travel Required:

Clearance Required:

What You Will Do:

  • Responsible for enrolling providers for Medicare, Medicaid, BCBS AL, Tricare East, Delta Dental, Mississippi Medicaid, Railroad Medicare, VIVA, and etc.
  • Also responsible for reviewing, analyzing, and processing invoices pending in deparment's inventory.
  • Reenroll providers on a monthly basis (by Payer).
  • Enter data in credentialing software system (CACTUS Symplr) and run adhoc reports as needed.
  • Work departmental email box by responding and answering phones in a timely manner.
  • Update dictionaries and system used for processing claims/invoices.

    What You Will Need:
    • HS Diploma or GED
    • Candidate knowledgeable of Payer Enrollment Credentialing, Analytical skills
    • Knowledgeable of Microsoft Excel and Word, ability to type minimum 35 WPM,
    • Two (2) years Healthcare experience, ability to coordinate, observe, and be detailed oriented.
    • Oral communication, written communication, and able to actively listen. Interpersonal skills, time management, and critical thinking.

      What Would Be Nice To Have:
      • Two (2) years of credentialing experience desired. CPCS certification desired.


        What We Offer:

        Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

        Benefits include:
        • Medical, Rx, Dental & Vision Insurance
        • Personal and Family Sick Time & Company Paid Holidays
        • Position may be eligible for a discretionary variable incentive bonus
        • Parental Leave
        • 401(k) Retirement Plan
        • Basic Life & Supplemental Life
        • Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
        • Short-Term & Long-Term Disability
        • Tuition Reimbursement, Personal Development & Learning Opportunities
        • Skills Development & Certifications
        • Employee Referral Program
        • Corporate Sponsored Events & Community Outreach
        • Emergency Back-Up Childcare Program

          About Guidehouse
          Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

          Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

          If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

          Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

Keywords: Guidehouse, Birmingham , Credentialing Coordinator - Hospital Onsite, Healthcare , Birmingham, Alabama

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