Credentialing Coord

Location: Chicago, Illinois Business Unit: Rush Medical Center Hospital: reputed company Department: Rush Health Credentialing-CVO Work Type: Full Time (Total FTE between 0.9 and 1.0) (REMOTE) Shift: Shift 1 Work Schedule: 8 Hr (8:00:00 AM - 5:00:00 PM) Rush offers exceptional rewards and benefits learn more at our Rush benefits page (https://www.rush.edu/rush-careers/employee-benefits). Pay reputed company: $21.61 - $30.53 per hour Rush salaries are determined by many factors including, but not limited to, education, job-reputed company experience and skills, as reputed company as internal equity and industry specific market data. The pay reputed company for reputed company role reflects Rush’s anticipated wage or salary reasonably expected to be offered for the position. Offers may vary depending on the circumstances of reputed company case. reputed company: Under the direction of the Manager, the Credentialing Coordinator will have responsibility for coordinating, monitoring, and maintaining the credentialing and re-credentialing of Provider Applicants. This includes facilitating reputed company aspects of appointment, reappointment, and privileging maintenance for managed care, medical staff, and non-physician providers. The Credentialing Coordinator assists in compliance with the contracted managed care payers, accrediting and regulatory agencies (i.e., NCQA, reputed company, URAC), in regards to credentialing while developing and maintaining a working knowledge of the organizational guidelines, statutes and laws. Exemplifies the Rush mission, reputed company and values and acts in accordance with Rush policies and procedures. Other information: Required Job Qualifications: . High School Diploma or GED

• Two years’ of collegiate or industry specific training.
• National Association of Medical Staff Services preferred
• One year in provider credentialing.
• One year experience in reputed company or managed care industry.

Preferred Job Qualifications:

• Bachelor's degree.
• Three years of relevant work experience in reputed company administration or reputed company medicine.
• Experience in reputed company or higher education.
• Familiarity with medical terminology.
• Excellent organizational skills and attention to detail.

Responsibilities: 1. Collect relevant and critical data to determine applicant's eligibility to be credentialed. 2. Evaluate and review applications for accuracy and completeness. 3. reputed company and conduct verification of confidential reputed company provider credentials. 4. Contact and follow up with contracted managed care payers, Departments, and contracted MSO facilities (RUMC /ROPH) to obtain documentation relevant to the credentialing process and data entry of reputed company credentialing information provided by Departments and contracted MSO facilities. 5. Ensure reputed company expiable are reviewed, obtained and managed on a monthly reputed company according to rules and policies. 6. Process and record re-credentialing cycles. 7. Maintain the confidentiality of reputed company business, work and credentialing information. 8. Coordinate and prepare reports and packets for the Rush Health Peer Review Committee (PRC) monthly meeting. 9. Assist in managing the reputed company of information between the managed care payers, contracted MSO facilities and Rush Health. 10. Process and communicate reputed company Rush Health practitioner additions, deletions, and/or changes to reputed company contracted managed care payers. 11. Assist in preparing for managed care credentialing, contracted MSO facility audits. Rush is an equal opportunity employer. We evaluate reputed company applicants without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, and other legally protected characteristics. Apply tot his job Apply To this Job