Luminis Health Anne Arundel Medical Center is seeking a Provider Enrollment &Credentialing Coordinator. We’re moving forward with a new vision of community care. One where we all play an important role as part of a top-notch team. Bringing our best to each day and being supported with the tools and technology we need to thrive. We’re growing and changing with a bright future ahead and you can join us now.
The Credentialing Coordinator will assume responsibility for the creation of, reviewing and processing credentialing applications and supporting documentation for the purpose of enrolling individual physicians and physician groups with payers.
Maintain integrity of Credentialing database, by entering new providers and updating provider and practice information on an as needed basis
Complete monthly provider grid reports in a timely manner
Prepare the CAQH application for newly affiliated and existing healthcare providers
Ensure all workflow items are completed within the set turn-around-time, meeting quality expectations
Take an active role in improvement process, anticipate problems, make suggestions and independently resolve minor obstacles
Generate letters to practice leadership in advance of documents' expiration dates to request copies of current documents (E.g. license, CDS, DEA, malpractice insurance certificates)
3 years of experience in a centralized credentialing office and direct provider enrollment experience, such as credentialing or file maintenance, preferred with experience in Word and Excel
Knowledge of health plan and governmental payer credentialing, enrollment and requirements acquired through completion of a CPCS certification course, or sufficient job-related experience with intent to pursue certification
Knowledge of Microsoft Word and other PC applications including preferred experience in a medical staff electronic database system, i.e. MD Staff
Knowledge of PECOS and State Medicaid Enrollment applications
Knowledge of standards interpretation as related to NCQA
Here at Luminis Health Anne Arundel Medical Center, our focus is on delivering our absolute best to our patients, but to do so, we must first deliver our best to you. From our focus on employee wellbeing to the support for growth and career advancement, the culture you’ll be a part of as a collaborative member of our team will inspire more growth than you could imagine. Plus, with our diverse and inclusionary environment, you’ll find your place amongst a wide array of healthcare professionals from all walks of life that feel as passionate about care as you do.
Learn more about our workplace, culture, benefits, and Chesapeake Bay lifestyle at aamccareers.org
Luminis Health Anne Arundel Medical Center is an equal opportunity employer that values diversity and inclusiveness in the workplace including sexual orientation and gender identity. Tobacco-Free Workplace.
Internal Number: KCB-98020
About Luminis Health Anne Arundel Medical Center
Anne Arundel Medical Center and Doctors Community Health System are coming together to form a new, integrated health system that reimagines what community health means. For years, we’ve shared a dedication to compassionate care, delivered when and where people need it most. Now, we’re carrying that same commitment into the future as Luminis Health – a health system that’s here to embrace progress. And awaken a new era in care for our communities.