Employment Type:

Full time

Shift:

Day Shift

Description:

Position Purpose

The Credentialing Coordinator is responsible for performing credentialing and provider enrollment for all new and existing providers who are members of Trinity’s Clinically Integrated Network with appropriate entities including insurance companies, hospitals, nursing facilities, external agencies, etc.

What you will do

• Complete applications in a timely manner and according to specific requirements with current provider/group information

• Research new plans and how to enroll providers with them as needed.

• Track progress and notify external/internal customers as appropriate to ensure expeditious completion of provider credentialing.

• Ensure complete and updated provider certifications, licensure, insurances, privileges, malpractice histories, and all other pertinent information.

• Facility Credentialing for Trinity practices and facilities.

• Lead the processes and functions of credentialing and provider enrollment.

• Alert internal and external parties on credentialing and provider enrollment process, to support the timely, accurate and complete credentialing, re-credentialing and enrollment of all THOfNE CIN employed/contracted physicians and midlevel providers.

• Travel to community practices to gather information and provide enrollment guidance when needed across Connecticut and Massachusetts

• Supports delegated credentialing

• Any other tasks as assigned.

Minimum Qualifications

• Associates Degree or equivalent experience preferred. Affiliation with Professional Credentialing Associations desirable

• Minimum two (2) years Credentialing experience required

• Minimum two (2) years Health Care billing experience required

• Working knowledge of Microsoft Office software and knowledge of CAQH software is essential

Position Highlights and Benefits

• Full time 40 hours Mon-Fri days

• Great Benefits and Health Insurance Coverage—starting Day One!

• Career growth and advancement potential

• Award-winning Hospitals and Departments

Ministry/Facility Information

We are a group of primary care providers, specialists and surgeons serving patients in Connecticut and western Massachusetts. Part of Trinity Health Of New England, we offer primary care, specialty care, surgery, urgent care, rehabilitation, and imaging and lab services for thousands of patients every year.

Our Commitment to Diversity and Inclusion

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

EOE including disability/veteran