Coordinator, Provider Credentialing - Associate, Managed Care, Days, Hybrid (KY/IN Residents Only) in Louisville, Kentucky at Norton Healthcare

Location: Louisville, Kentucky
Job Category: Finance
Job ID: 154907
Facility Group: Norton System Services
Job Description

Responsibilities

The Coordinator, Provider Credentialing-Associate is responsible for pre-employment and credentialing, verification of licensure, education, and certifications. This role is also responsible for re-credentialing every 2 years. Verification of malpractice insurance and issuing Certificate of Insurance for all NMG providers, non-employed providers, Hospitals, Pharmacies, Labs, etc. across the system each year. Assists all NMG providers and non-employed providers in processing applications in accordance with regulatory and accreditation requirements. Maintains and follows through with the insurance enrollment process for NMG providers, leased providers, contracted providers, Hospitals, Pharmacies, Labs, etc. for the purpose of enrolling the system in health plans contracted with the organization in accordance with the NCQA national guidelines. The Coord, Provider Credentialing-Assoc is responsible for following control processes including requests for change or updates within the systems and follow through skills. Must be competent to work the initial enrollment process. Position includes problem management and troubleshooting. Assists in determining enrollment needs, helps to investigate solutions and presents recommendations to intermediate coordinator and management as needed. Acts as a liaison between NMG providers, non-employed providers, and contracted health plans. Must possess the ability to establish and maintain effective working relationships with all providers, other Credentialing Coordinators, management, and contacts inside and outside the organization. Performs any and all duties necessary to ensure the accurate and timely credentialing for all Providers, Hospitals, Labs, and Pharmacies, etc.

**This role offers a hybrid work option. Initial training will take place at a Norton Healthcare facility, and you must be available to come onsite for business needs as required. Employees in this position must reside in Kentucky or Indiana.**

Qualifications

Required:

• Associate Degree - no experience
• Without Associate Degree - two years of experience in healthcare or credentialing

Desired:

• Bachelor Degree

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Screening requirements:

• Background check
• License & education verification
• Employment reference verification
• Drug Screen

Norton Healthcare offers a competitive benefit package, including:

• Paid vacation, sick days and holidays
• Paid parental leave
• 403b/401k retirement plan
• View more: Benefits Guide
• Medical, Dental, and Vision Insurance

Discover meaningful career opportunities at NortonHealthcareCareers.com.
Norton Healthcare Careers - Together, We Will.

Norton Healthcare is a leader in serving adult and pediatric patients from throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. The not-for-profit hospital and health care system is Louisville's second largest employer, with more than 20,000 employees.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Norton Healthcare strives to make the Norton Healthcare Careers site accessible to all job seekers. If you're a candidate with a disability, we will make reasonable efforts to accommodate your needs during the application process.

If you have a disability and need to request a reasonable accommodation, email recruitment@nortonhealthcare.org

Equal Employment Opportunity is the law.