Credentialing & Enrollment Coordinator

Posted:
9/17/2024, 8:48:49 AM

Experience Level(s):
Mid Level ⋅ Senior

Field(s):
Medical, Clinical & Veterinary

Workplace Type:
Hybrid

Who We Are

We are Imagine Pediatrics, a devoted and compassionate, multi-disciplinary pediatrician-led medical group that is creating a world where every child with complex medical conditions gets the care and support they deserve. Energized by our mission to reimagine pediatric health care, we are pioneering virtual-first care services that include care coordination and around-the-clock access to complex-care clinicians from home. We don’t replace a child's existing care team. Instead, we collaborate to deliver continuous support to kids, so they can spend less time in the hospital and more time thriving at home and in their communities.  

Every day we boldly challenge old approaches and seek out new and better ways to improve the health and lives of children with medical complexity. In partnership with caregivers, providers, and health plans, we break down the barriers that stand between families and quality care for their children. We know we can’t solve every challenge in the lives of these kids, but we can work tirelessly to give them, their families, and other caregivers the help and relief they need, right when they need it.  We know a better approach to pediatric health care is within reach, and we are committed to seizing it today. 

 
What We Live By 
 
We’re guided by our five core values:

  • Children first. We put the best interests of children above all. We are uncompromising in our commitment to improving the lives of children and families by bringing the best care to them. 
  • Earn trust. We cherish the trusting relationships we build with the children and families we serve, our partners, and each other. We seek first to understand and speak honestly. 
  • Innovate today. We refuse to accept the way things have always been done. Children and families are waiting for our help and their bravery demands that we relentlessly challenge assumptions to develop new approaches.
  • Embrace humanity. We lead with empathy and authenticity, presuming competence and good intentions. When we stumble, we use the opportunity to learn and grow stronger.
  • One team, diverse perspectives. We work alongside families as one team towards a shared purpose. We champion diversity and acknowledge the contributions of others.

What You’ll Do 

The Credentialing & Enrollment Coordinator will partner with the Credentialing Manager and Credentialing Specialists to facilitate the successful enrollment and credentialing of physicians and other providers. In this role, you will:

  • Maintain the computerized operations of the centralized credentials verification system by managing all components of the medical staff database, including data entry, creating reports, and maintaining software 
  • Serve as team member in coordinating medical staff and allied health professionals initial appointments and reappointments 
  • Track the flow of credentialing information throughout the Medallion System and to delegating credentialing entities 
  • Oversee the system credentialing database 
  • Utilize software functions to convert paper documents to electronic files where possible 
  • Receive applications and enters data and requested privileges into the credentialing database (Medallion) 
  • Prepare application packets for distribution to applicants 
  • Scan and email completed credentials files to appropriate parties promptly 
  • Maintain records of all changes to practitioner status and demographics and communicates to appropriate departments 
  • Plan and develop helping documentation (agendas, minutes, reports for Credentials Committee and others as assigned 
  • Monitor time-limited documents to ensure continuous currency 
  • Follow departmental expiring document policy to ensure proper notification to practitioners of impending expirations 
  • Access primary verification sources to document renewed licenses and certifications, enters renewals into database, and files hard copy in credentials file 
  • Notify manager of expiring documents 
  • Design reports and queries to help the functions of the department 
  • Prepare scheduled and ad hoc reports for both internal and external customers according to established timelines and distribution lists 
  • Maintain current knowledge of the joint commission and NCQA Standards 
  • Regularly participates in learning opportunities to keep current in the credentialing industry 
  • Perform other position duties as required 

 

What You Bring & How You Qualify 
First and foremost, you’re passionate and committed to reimagining pediatric health care and creating a world where every child with complex medical conditions gets the care and support they deserve. 

  • Commitment to continuous learning and keeping abreast in the Medical Staff Services industry 
  • Experience in database management, medical staff and/or credentialing services required 
  • Exceptional organizational skills, independent work management skills, and proficiency in working with computerized databases required 
  • H.S. Diploma/GED Equivalent 

 

What We Offer (Benefits + Perks) 
 
When determining compensation, we analyze and carefully consider several factors including job-related knowledge, skills and experience. These considerations may cause your compensation to vary. 
 
We provide these additional benefits and perks:

  • Competitive medical, dental, and vision insurance 
  • Healthcare and Dependent Care FSA; Company-funded HSA
  • 401(k) with 4% match, vested 100% from day one
  • Employer-paid short and long-term disability 
  • Life insurance at 1x annual salary 
  • 20 days PTO + 10 Company Holidays & 2 Floating Holidays 
  • Paid new parent leave
  • Additional benefits to be detailed in offer 

We Value Diversity, Equity, Inclusion and Belonging 

We believe that creating a world where every child with complex medical conditions gets the care and support they deserve requires a diverse team with diverse perspectives. We're proud to be an equal opportunity employer. People seeking employment at Imagine Pediatrics are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information, or characteristics (or those of a family member), pregnancy or other status protected by applicable law.