Credentialing Coordinator

OakLeaf Clinics - Business Office

OakLeaf Clinics - Business Office has an exciting opportunity to join our growing team as a credentialing coordinator.

OakLeaf Clinics is dedicated to providing our patients with compassion, trust, and a lifetime of individualized care. Our healthcare team consists of physicians, nurse practitioners, physician assistants, dietitians, nurses, respiratory therapists, and medical assistants working in concert with laboratory/imaging services to offer individualized care to the Chippewa Valley.

Position description

The Credentialing Coordinator is responsible for completing credentialing of providers within OakLeaf Clinics. You will organize, maintain, and verify all aspects of the process and maintain current files on practitioners. You will track the expiration of certifications to maintain up-to-date files and assist health plan providers and customers with phone inquiries. 

Responsibilities

• Perform all activities related to credentialing and re-credentialing, including, but not limited to, determining an applicant's eligibility for membership and privileges; analyzing applications and supporting documents for completeness and accuracy; timely processing applications for membership and/or privileges; and ensuring hospital standards, state and federal law, and accrediting standards are met
• Monitor provider credentials, licenses, certifications, and memberships to ensure records are current and consistent with regulations and policies
• Maintain reports and database of credentialing activities such as accreditation, memberships, licensure, or facility privileges
• Participate in the development of internal credentialing processes and procedures
• Process applications and reappointment paperwork, validating completeness and accuracy
• Maintain databases with pertinent education, training, experience, and licensure content
• Act as credentialing liaison for the organization, its providers and partner hospitals, and third-party payors
• Maintain an approachable and positive attitude interacting with all levels of personnel in a rapidly changing environment
• Complete other various administrative duties as assigned

Qualifications

• High school diploma or GED
• Associate's or bachelor's degree in healthcare administration or related field (Preferred)
• Three years of clinic/physician credentialing experience preferred or three years of hospital and/or healthcare-related experience (Preferred)
• CMSC (Certified Medical Staff Coordinator) or CPCS (Certified Provider Credentialing Specialist) is a plus
• Experience in working with sensitive and highly confidential information
• Excellent verbal and written communication skills
• Strong organizational skills and detail-oriented
• Self-starter and ability to drive process improvement

Work environment

While performing the duties of this job, the employee regularly works in an office setting.

Physical demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

Major activities of this job include frequent sitting for extended periods of time, some walking or standing, and light physical effort performed on a level surface. Some carrying, lifting, kneeling, bending, reaching, and squatting are involved in the medical office. Use a computer and telephone and employ writing and organizational skills. Manual dexterity, mobility and good vision that includes near acuity, depth perception and accommodation are physical requirements necessary for technical work.

Salary: $20.50 - $24.00 per hour
Education: Associates
Job Type: Full Time
Experience: 2+ years
Location: 719 W Hamilton Ave, Suite B • Eau Claire, WI 54701

To apply, please send cover letter and resume to:

Janelle Joas, Human Resources Manager

OakLeaf Clinics
3802 Oakwood Mall Dr, Eau Claire, WI 54701

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