Provider Network Coordinator

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Temporary Position - anticipated 6 month position

POSITION SUMMARY

Join our dynamic team as a Provider Network Coordinator and play a vital role in coordinating the credentialing cycle for our providers within the Community Health Options Network. The Provider Network Coordinator is responsible for assisting the Provider Network Lead with all aspects of Community Health Options’ credentialing program including file maintenance and the coordination of the credentialing and re-credentialing processes. The Coordinator works closely with the Lead to assure the smooth processing of applications and maintenance of provider information.

RESPONSIBILITIES

1. Work appropriately with other departments and under Community Health Options guidelines to populate the appropriate information in the organization’s proprietary databases:
   • Pull and upload credential files for entry into eVips.
   • Conduct careful review of files as they are received from the Credentialing Verification Organization (CVO), identify issues for follow-up, red flags, or gaps with comparison to data in eVips and add/update any missing data into eVips.
   • Flag files in need of review for Provider Network Lead.
2. Upon completion of initial credentialing or re-credentialing process, notify applicants of outcome via electronic letter.
3. Work closely with Delegated partner credentialing appointees to facilitate accurate and timely processing of delegated credentials.
4. Maintain accurate files through all digital partnerships/mechanisms including but not limited to: eVips and Verisys Insight system.
5. Work collaboratively with Data Integrity and Contracting to identify and rectify file errors, duplications, and omissions.
6. Maintain Provider Data as directed by lead for special projects.

KEY COMPETENCIES

People within Community Health Options are expected to work with integrity, humility, strategic vision, curiosity, and discipline. They must be self-motivated, highly effective, and compassionate communicators, effectively working with people, work processes, and actively engaging in continuous process improvement.

Health Option diversity initiatives are applicable—but not limited—to our practices and policies on recruitment and selection; compensation and benefits; professional development, and training; promotions; transfers; social and recreational programs, and the ongoing development of a work environment built upon the premise of diversity equity, which encourages and enforces:

• Respectful communication and cooperation between all employees.
• Teamwork and employee participation, permitting the representation of all groups and employee perspectives.
• Work/life balance through flexible work schedules to accommodate employees’ varying needs.
• Employer and employee contributions to the communities we serve to promote a greater understanding and respect for diversity.

QUALIFICATIONS

1. High School Diploma or equivalent, bachelor’s degree preferred.
2. 3 or more years of related healthcare experience.
3. Effective oral and written communication and relationship building skills.
4. Exceptional interpersonal skills.
5. Honed attention to detail.
6. Knowledge of medical provider credentialing process and terminology.
7. Ability to use independent judgment and manage confidential information.