Credentialing Administrator

Job Id
286703
Job Location
Addison, TX
Employment Type
Full Time
Industry
Health Care
Concentra
20240423T170025Z

Overview

Please be advised, if you are viewing this position on Indeed, that the salary rate/range set forth herein was provided by Indeed. Concentra's market specific rate/range will be provided during the interview process.

Primary responsibilities include, but are not limited to, day-to-day support for the Contracting and Credentialing teams including launching of team workflows in the IntelliCred database; manage and track DOT and APC/ATC certification and compliancy; facility credentialing for Group Health payers; tracking of group health payer agreements/contracts for executive review/signatures; allocating and submitting expenses for internal credentialing verification charges.

Read more overview information
Benefits
Benefits
  • 401(k) Retirement Plan with Employer Match
  • Medical, Vision, Prescription, Telehealth, & Dental Plans
  • Life & Disability Insurance
  • Paid Time Off & Extended Illness Days Offered
  • Colleague Referral Bonus Program
  • Tuition Reimbursement
  • Commuter Benefits
  • Dependent Care Spending Account
  • Employee Discounts

This job requires access to confidential and critical information, requiring ongoing discretion and secure information management.

We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.

Concentra is an Equal Opportunity Employer M/F/Veterans/Disabled

Read more about position benefits
Responsibilities

• Serve as support for maintaining and tracking DOT certifications for all physicians, nurse practitioners, and physician assistants. Research/validate DOT certification and practice profiles via the National Registry of Certified Medical Examiners (NRCME) website. Notification of DOT certification and practice profile status is communicated to the field EAs and tracked for Concentra compliancy through the IntelliCred database
• Serve as support for maintaining and tracking all APC/ATC agreements for compliancy. Submits written request to field EAs for APC/ATC agreements for all new hire, annual/biennial renewals and supervising physician changes of Nurse Practitioners, Physician Assistants, and Athletic Trainers. Completion of APC agreement requests are tracked and monitored for compliancy through the IntelliCred database
• Facilitate, maintain and track facility credentialing applications for Urgent Care, Physical Therapy, Primary Care and Work Comp payers. Includes completion of simple to complex credentialing applications with supporting documents such as local, state, and federal licensures, CLIA certificates, center assessment and services offered questionnaires. Credentialing activities are maintained and tracked in the IntelliCred database through various workflows
• Act as the primary liaison to secure needed facility licensures by working with internal licensing department, clinical and operational leaders.
• Conduct internal audits such as facility rosters and various IntelliCred database validations to ensure data integrity
• Launching workflows in the IntelliCred system for Medicare, Group Health and Quality Control and Administration teams for new hires, terms, location updates for clinician Medicare enrollment, external payer credentialing needs, APC Collaborative Agreements and DOT certification compliancy
• Participate in acquisition activities for the department to include but not limited to launching workflows for all teams, updating all internal facility rosters and IntelliCred Group records
• Maintain all departmental administrative tasks such as office supplies, incoming/outgoing mail, Fed Ex, department contact lists, etc.
• Create and maintain internal Facility Listings on shared drive and Groups/Locations in database to include facility demographics, NPIs, legal entity, TIN, Medicare PTAN and billing information utilized by the department and for external Group Health payer needs. Prepare various reports such as custom facility listings and provider rosters as requested for internal and external clients
• Track contracts for review and signature by executive leaders. Maintain all Group Health payer contract files via electronic and hard-copy file system
• Reconciliation for Internal Credentialing verification charges. Obtain receipts for each transaction, validate and allocate the correct billing string for biweekly submission through the Concur expense reporting system

Read more about responsibilities
Qualifications

Education Level: High School Diploma or GED
Major:
Degree must be from an accredited college or university.

Education Details:
• A college degree in related field or equivalent work experience.

Certifications and/or Licenses:
Experience in lieu of required education is acceptable: No
Continuing education is required to maintain license and to perform job: No

Job-Related Experience

Customarily has at least the following experience:
2 years
• Customarily has at least 2 years of administrative skills experience
• Moderate to advanced Excel skills

Read more about qualifications

Talk to a Recruiter

Alfreda_Morris