Bend, Oregon - Credentialing Coordinator

Description

The Credentialing Coordinator will be responsible for administering the provider and facility enrollment process; oversees and coordinates both the initial and reappointment credentialing applications process; assess and validate practitioner qualifications as required by regulation and SMG policy. Position is responsible for processing and maintaining staff applications for all physicians and mid-level providers. Assist in the development and update of all policies and procedures pertaining to credentialing. Serves as credentialing liaison for contracted health plans and hospitals and activities related to delegated credentialing contracts. Support Revenue Cycle team by assisting in claim management, denial management and aged unpaid claim follow up. 

Essential Job functions: