Credentialing Coordinator - 10720 presso Colorado Coalition for the Homeless
Colorado Coalition for the Homeless · Denver, Stati Uniti d'America · Hybrid
- Ufficio in Denver
The mission of the Colorado Coalition for the Homeless is to work collaboratively toward the prevention of homelessness and the creation of lasting solutions for homeless and at-risk families, children, and individuals throughout Colorado. The Coalition advocates for and provides a continuum of housing and a variety of services to improve the health, well-being, and stability of those it serves.
Our Philosophy of Service: We believe all people have the right to adequate housing and health care. We work to remove the barriers that restrict access to these rights. Society benefits when adequate housing and health care are available to everyone. We create lasting solutions to homelessness by:
· Honoring the inherent dignity of those we serve, affirming their capabilities and fostering their hope that a better life is possible.
· Building strong, caring and trauma-informed communities through the integration of housing, health care and supportive services.
· Advocating for social and racial equity, inclusion and diversity, and challenging the status quo in partnership with our workforce members and those we serve.
· Achieving excellence through continuous quality assurance, innovation and professional development.
· Using resources judiciously and effectively.
The Colorado Coalition for the Homeless seeks a Credentialing Coordinator to assists in the development, planning, implementation, process monitoring, maintaining the database, and ensuring the timeliness of the credentialing/re-credentialing process for all applicable CCH employees and volunteers. This role assures credentialing compliance with accrediting and regulatory agencies while also developing and maintaining a working knowledge of relevant statutes and laws. Coordinator maintains CCH locations, staff providers and volunteer’s payer credentialing enrollments and revalidations and NPI and CAQH Profiles. This position primarily works from a remote location within Colorado residence. Occasional meetings will be required in-person at 2130 Stout St., Denver, Colorado 80205 and reports to the Credentialing and Privileging Manager.
Additional Requirement
- Valid driver’s license required. This requirement may be waived, if necessary, based on overall candidate experience and current needs of the business.
Coalition Benefits
- Choice of HMO or PPO health insurance coverage options: full-time employees contribute only 1% of their earnings for their own HMO health coverage and no more than 4% of their earnings for coverage of eligible dependents. We’re proud to offer same-and opposite-sex domestic partner coverage.
- Choice of dental insurance or discount plan.
- Vision insurance.
- Flexible spending accounts for health care / dependent care / parking expenses.
- Free basic life and AD&D insurance coverage.
- Employee Assistance Program, a problem-solving resource available to you and your household members.
- Dollar-for-dollar retirement plan matching contributions up to 5% of earnings with 3-year vesting.
- Extensive paid time-off, including 9 holidays, 12 days of sick leave, and three weeks of vacation for new full-time employees in their first year.
The effective date for your benefits will be the first of the month following your date of hire.
Essential Job Functions
- Facilitates all aspects of credentialing and privileging for initial appointments, reappointments, and reprivileging of providers and volunteers.
- Processes initial credentialing and reappointments for all agency health professionals (employees and volunteers) in a timely manner and supports the provider’s onboarding to Committee/Board approval.
- In coordination with Health Services Committee, applies working knowledge of, and proactively reports changes in, all applicable standards, laws, regulations, and Credentialing and Privileging Policies and Procedures.
- Validates that all required credentialing elements are accurate and completed in a timely manner.
- Prepares, processes, and maintains CCH location and staff or volunteer provider enrollments with Medicare, Medicaid, DentaQuest, Denver Health, Colorado Access, Beacon, TriWest, and other third-party payer plans.
- Performs complete file reviews for credentialing and enrollment audits.
- Manages provider expirables to email notices and document updates in electronic files.
- Maintains CCH locations and provider information updating for payer enrollments and NPI and CAQH profiles.
- Performs provider locations’ linking for Medicaid, Medicare, and all other payer enrollment or disenrollment functions.
- Serves as CCH liaison to third-party payer plans for the credentialing and audits of providers through CAQH Proview.
- Compiles, prepares, and maintains provider NPIs, CAQH, Licensures, DEAs, and payer approval data for rosters or PIWs.
- Responsible for preparing reports and collecting provider data for projects and supporting other departments in such requests.
- Create and manage location/provider/payer Dashboard for internal departments to access.
- Coordinates provider privileging and enrollment approvals in global email distributions and to Revenue Cycle Department.
- Performs other duties as assigned.
- Participates in organizational projects or activities pertaining to Credentialing and privileging with various CCH departments such as Human resources, QA, DATA, IT, and operations, and workforce development, as required; promotes good working relationships with all CCH and RPMC staff.
- Makes him/herself available by cell phone to assist providers, CCH staff, and the Credentialing and Privileging Committee Members.
- Maintains for confidentiality of providers’ information, accuracy, and integrity of all databases and reporting.
- Other duties as assigned.
Qualifications Summary
- Two plus years health care credentialing and/or provider enrollment experience.
- Bachelor’s degree or relevant work experience may substitute for advanced education.
- Must be a Colorado resident.
WHERE A CANDIDATE IS PLACED IN THE COMPENSATION RANGE DEPENDS ON TOTAL RELEVANT YEARS OF EXPERIENCE
Employee must be able to perform essential job functions with or without reasonable accommodation and without posing a direct threat to safety or health of self or others. To perform this job successfully, an individual must be able to perform each essential function satisfactorily. Employee will perform job according to applied laws. The requirements listed above are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The Colorado Coalition for the Homeless is committed to delivering services, making employment-related decisions, selecting volunteers, and selecting vendors without regard to age over 40, race, sex, color, religion, creed, national origin, ancestry, disability, genetic information, marital status, sexual orientation, gender identity, gender expression, pregnancy, medical condition related to pregnancy, military status, or any other applicable status protected by law.
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