This is a remote position

You.

You bring your body, mind, heart and spirit to your work as a Credentialing Coordinator.

You’re generous with your thoughts, your partnerships and especially your voice, because your opinion matters.

You’re great at what you do, but you want to be part of something even greater. Because you believe that while individuals can be strong, the right team is invincible.

Us.

System Services is our Corporate Headquarters in Broomfield, Colorado and is located within the Oracle campus. SCL Health is a faith-based, nonprofit healthcare organization dedicated to improving the well-being of the people we serve.

Benefits are one of the ways we encourage health for you and your family. Our generous package includes medical, dental and vision coverage. But health is more than a well-working body: it encompasses body, mind and social well-being. To that end, we’ve launched a Healthy Living program to address your holistic health. Healthy Living includes financial incentives, digital tools, tobacco cessation, classes, counseling and paid time off. We also offer financial wellness tools and retirement planning.

We.

Together we’ll align mission and careers, values and workplace. We’ll encourage joy and take pride in our integrity.

We’ll laugh at each other’s jokes (even the bad ones). We’ll hello and high five. We’ll celebrate milestones and acknowledge the value of spirituality in healing.

We’re proud of what we know, which includes how much there is to learn.

Your day.

As a Credentialing Coordinator you need to know how to:

• Coordinate the timely enrollment of new providers (physicians and AHP) and on-going maintenance of existing providers with contracted payers.
• Coordinate all aspects of provider enrollment with SCL Health’s commercial and government (Medicare and Medicaid) professional fee payer contracts for an entire market.
• Ensure enrollment is completed timely and accurately.
• Follow-up with managed care organizations and government payers to ensure timely and accurate enrollment.
• Participate in enrollment progress update meetings for assigned market.
• Provide status information to stakeholders. Keep detailed notes about enrollment progress in provider enrollment database and distributes information to designated department representatives and credentialing administrators.
• Submit provider change and termination requests to all health plans in a timely manner.
• Inform commercial and government payers and internal SCL stakeholders of provider and clinic updates in assigned market.
• Complete all payer re-credentialing requests and demographic/roster requests.
• Complete payer roster comparisons with internal SCL roster twice a year.

Your experience.

We hire people, not resumes. But we also expect excellence, which is why we require:

• High School graduate or equivalent, required.
• At least one (1) year of previous work experience in a healthcare setting, preferred.
• Previous work experience in revenue service center, preferred.
• Previous work experience with provider credentialing and/or enrollment, preferred.

Your next move.

Now that you know more about our team we hope you’ll join us. At SCL Health you’ll reaffirm every day how much you love this work, and why you were called to it in the first place.

#Li-Remote