Credentialing Coordinator I

Why should you consider a career with Colorado Access? We are a Colorado-based company, working to improve the health of our state. We care for individuals, families, and children who receive health care under Child Health Plan Plus (CHP+) and Health First Colorado (Colorado's Medicaid Program). O ur focus is driving improvements in quality, member experience, outcomes, and cost. We are a mission-driven organization whose foundation is built by our vision and supported by our values. Find work/life balance: We offer PTO, floating holidays, nine company paid holidays, a hybrid work environment, an Employee Assistance Program and a 401K. Be a part of something bigger and make an impact : We serve the underserved and most vulnerable populations in our community through access to quality and affordable health care. No matter what you do for Colorado Access, you are impacting our community and making a difference. Sharpen your skills, learn, and grow : We support your continued development through tuition reimbursement, leadership training, promotion opportunities, performance evaluations, employee recognition, and a language pay stipend. What you will do: We are looking for a CREDENTIALING COORDINATOR I who can help shape our vision and support our mission. Here is what the position will look like. Performs timely and accurate practitioner and organizational credentialing and re-credentialing functions in accordance with Colorado Access and NCQA standards and State and Federal requirements that includes application review and follow-up, primary and secondary source verification. Coordinates the application process and maintains practitioner initial credentialing and re-credentialing to include database entry, tracking and follow-up. Effectively communicates with providers and their office staff to obtain information needed for credentialing. Prepares files for the Senior Medical Director and Credentialing Committee review. Assists in maintaining the credentialing database for the provider directories. Assists the Provider Network Services team and the Configuration department with status questions. Researches and follows up on provider participating status in the claims system. Consistently meets department quality, service and production standards. What you will bring: Education : High school diploma or equivalent required. Two-year degree in healthcare or related field preferred. Experience : Two years’ experience; prior managed care experience helpful. Previous provider credentialing experience is strongly preferred. Knowledge, Skills, and Abilities : Knowledge of Microsoft products and using internet search engines such as Google. Demonstrates support for the company’s mission, vision and values. Position requires strong written and verbal communication skills; attention to detail required along with being familiar with the Health Care Delivery System/HMO and NCQA standards. Strong organizational skills are required, including the ability to prioritize and adapt to changing priorities and responsibilities. Able to work independently and as part of a team. May be required to manage multiple priorities and projects with tight deadlines. Licenses/Certifications : A valid driver's license and proof of current auto insurance will be required for any position requiring driving. Together we will be : an innovative and collaborative team who supports each other, the employees and vision of the company to reach our goals individually, together and as an organization. Pay, Perks and Benefits at Colorado Access: The compensation for this position is $51,600.00 - $55,200.00 annually and is a non-exempt (hourly) position. Colorado Access has provided a compensation range that represents its good faith estimate of what Colorado Access may pay for the position at the time of posting. Colorado Access may ultimately pay more or less than the posted compensation range. The salary offered to the selected candidate will be determined based on factors such as the qualifications of the selected candidate, departmental budget availability, internal salary equity considerations, and available market information, but not based on a candidate’s sex or any other protected status. In addition to being part of a mission driven organization serving our community, as an eligible Colorado Access employee, you’ll receive a generous benefits package, that includes: Medical, dental, vision insurance that starts the first day of the month following start date. Supplemental insurance such as critical illness and accidental injury. Health care and dependent care flexible spending account options. Employer-paid basic life insurance and AD&D (employee, spouse and dependent). Short-term and long-term disability coverage. Voluntary life insurance (employee, spouse, dependent). Paid time off Retirement plan Tuition reimbursement (based on eligibility). Annual bonus program (based on eligibility, requirements and performance). Where you will work: This position will be a hybrid model work environment, a blend of ‘In-Office’ and ‘Remote.’ We are not able to support out of state employees at this time as we continue to serve our members and community in the metro Denver area and across the beautiful state of Colorado.