About Orthopedic One
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
501 - 1,000 Employees
Headquarters location
Columbus, OH, US
Year founded
2016
Orthopedic One rating
6.3
Based on 14 frontline employees who took The Breakroom Quiz
Job description
Position Summary:Responsible for maintaining provider credentials and the timely and accurate filing of the credentials for insurance and hospital contracting.
Responsibilities/Accountabilities:
Customer Service and Communications:
Teamwork:
Policies and Procedures:
High School Diploma or equivalent required. Minimum of five years medical billing and credentialing experience preferred.
Responsibilities/Accountabilities:
- Coordinates all physician and resource credentialing with all hospitals, medical boards, and credentialing vendor.
- Communicates with providers to advise of renewal of licensure and certification updates.
- Maintain PECOS for physicians and advance practice providers.
- Provides weekly and ongoing credentialing update communications to operations regarding changes to the credentialing status of new providers.
- Performs other administrative tasks at the request of management as related to credentialing and board certification documentation.
Customer Service and Communications:
- Communicates with patients, insurance carriers and other outside entities in a professional manner. Identifies solutions and responds professionally to patient concerns, i.e., pleasant tone of voice, courteous language, etc. Uses appropriate grammar and demonstrates tact and diplomacy in patient interactions, by phone and in person.
- Diffuses negative situations with patients and maintains a pleasant and professional tone during stressful circumstances and heavy workload.
- Communicates with staff members in a professional, pleasant manner; Shares information relevant to work, no gossiping or disparaging remarks, accepts work without complaint or provides reasons why assignment is unmanageable, asks and answers questions related to improving department performance.
Teamwork:
- Works cooperatively with coworkers, providers, and management.
- Shares knowledge and insights with co-workers in a constructive manner.
- Willingly provides coverage to department, staying beyond scheduled ending time when clinic schedule demands it, volunteering to cover time off or unexpected absences, maintaining workflow in department without direct supervision.
- Addresses conflicts with person directly before involving manager or uninvolved peers.
- Is considerate of others with regard to taking breaks or meal periods, use of computer and telephone, and noise in department.
Policies and Procedures:
- Knows and complies with policies and procedures as enumerated in the Orthopedic One Employee Handbook and policies and procedures documents.
- Provides assistance and support to leadership in implementing policies and procedures as necessary.
- Actively participates in training, and conducting day to day work activity by adhering to all policies and procedures as enumerated in compliance and risk management programs.
High School Diploma or equivalent required. Minimum of five years medical billing and credentialing experience preferred.
orthopedicone.com
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Frequently asked questions
Q: What skills or qualities help someone succeed as a Credentialing Coordinator?
A: To succeed as a Credentialing Coordinator, key technical skills include proficiency in electronic health record (EHR) systems, knowledge of accreditation and regulatory requirements, and expertise in credentialing software and databases. Soft skills such as strong communication, organizational, and time management abilities are also crucial, as well as attention to detail and analytical thinking to ensure accurate and efficient credentialing processes. These strengths enable Credentialing Coordinators to effectively manage complex workflows, maintain compliance, and provide excellent customer service, ultimately supporting career growth and effectiveness in the role.
Q: What is the career path for a Credentialing Coordinator?
A: A Credentialing Coordinator's typical career progression involves starting as an entry-level Coordinator, where they manage and process provider credentials, followed by mid-level roles such as Senior Coordinator or Assistant Manager, overseeing teams and implementing credentialing processes. As they gain experience, they can move into senior roles like Manager or Director of Credentialing, where they develop and implement strategic credentialing plans and lead teams. With advanced skills and experience, Credentialing Coordinators can also transition into related roles like Compliance Officer, Risk Manager, or Healthcare Administrator, leveraging their expertise in credentialing and regulatory compliance.
