Credentialing Coordinator

  • $49k-$54k
  • Remote - Worldwide

Remote

All Others

Mid-level

Job description

Who We Are

We are Imagine Pediatrics, an innovative, tech-enabled, pediatrician-led medical group that helps children with special health care needs get the quality 247 care and support they deserve, right from home. Energized by our mission to reimagine pediatric health care together, we improve the health and lives of children special health care needs by breaking down the barriers that stand between families and the quality care their children need. We are committed to doing better for them: to put their best interests in the front of our minds and center of our hearts and channel that passion every day to boldly remove these barriers.

By partnering with parents, caregivers, providers, community resources, and health plans, we provide these children with more access to virtual-first and in-home medical, behavioral, and social care and empower them and their families to get the unwavering, 247 support they deserve. We don’t replace a child’s existing care team. Instead, we work with them to give every patient an expanded layer of support by delivering unlimited, virtual-first and in-home care, day and night. Every step toward that goal we take with equal parts compassion and creativity. Together, we’re always reaching for the profound impact that we know we can and must make.

What You’ll Do

The Credentialing Coordinator will partner with one of the Credentialing Specialists to facilitate the successful enrollment and credentialing of physicians and other providers. In this role, you will:

  • Maintain the provider data in the Credentialing Platform by performing data entry and maintenance
  • Support Provider account generation and maintenance in Licensure Board and State Medicaid Enrollment portals
  • Prepare application packets on behalf of Providers for enrollment in State Medicaid
  • Maintain Provider status and demographic information across all applicable internal platforms and external portals
  • Track the flow of Credentialing information from the Credentialing Platform to partner health plans and applicable vendors
  • Convert paper documents to electronic files where possible
  • Monitor time-limited documents to ensure continuous currency
  • Follow departmental License Renewal Policy to ensure proper notification to practitioners of impending expirations and assistance with renewals
  • Enter renewals into Credentialing Platform, and file hard copies in Provider profile, as applicable
  • Design/leverage department reporting to assist with core functions of the Credentialing Team
  • Maintain current knowledge of NCQA Delegated Credentialing standards
  • Regularly participate in learning opportunities to keep current in the Credentialing industry
  • Perform other position duties as required

What You Bring & How You Qualify

First and foremost, you’re passionate and committed to reimagining pediatric health care and creating a world where every child with complex medical conditions gets the care and support they deserve.

  • Commitment to continuous learning and staying up to date on the Credentialing industry
  • Experience in Provider data management and Credentialing management for a multi-specialty practice
  • Exceptional organizational skills, independent work management skills, and proficiency in working with computerized databases required
  • Experience working in a growing start up or fast-paced environment
  • H.S. Diploma/GED Equivalent

What We Offer (Benefits + Perks)

The role offers an hourly range of $24-26/hr in addition to annual bonus incentive, competitive company benefits package and eligibility to participate in an employee equity purchase program (as applicable). When determining compensation, we analyze and carefully consider several factors including job-related knowledge, skills and experience. These considerations may cause your compensation to vary.

We provide these additional benefits and perks:

  • Competitive medical, dental, and vision insurance
  • Healthcare and Dependent Care FSA; Company-funded HSA
  • 401(k) with 4% match, vested 100% from day one
  • Employer-paid short and long-term disability
  • Life insurance at 1x annual salary
  • 20 days PTO + 10 Company Holidays & 2 Floating Holidays
  • Paid new parent leave
  • Additional benefits to be detailed in offer

What We Live By

We’re guided by our five core values:

  • Children first.We put the best interests of children above all. We are uncompromising in our commitment to improving the lives of children and families by bringing the best care to them.
  • Earn trust.We cherish the trusting relationships we build with the children and families we serve, our partners, and each other. We seek first to understand and speak honestly.
  • Innovate today. We refuse to accept the way things have always been done. Children and families are waiting for our help and their bravery demands that we relentlessly challenge assumptions to develop new approaches.
  • Embrace humanity. We lead with empathy and authenticity, presuming competence and good intentions. When we stumble, we use the opportunity to learn and grow stronger.
  • One team, diverse perspectives. We work alongside families as one team towards a shared purpose. We champion diversity and acknowledge the contributions of others.

We Value Diversity, Equity, Inclusion and Belonging

We believe that creating a world where every child with complex medical conditions gets the care and support, they deserve requires a diverse team with diverse perspectives. We’re proud to be an equal opportunity employer. People seeking employment at Imagine Pediatrics are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information, or characteristics (or those of a family member), pregnancy or other status protected by applicable law.

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