Job description
Our doors are
open, and we are
still providing care. Planned Parenthood South Atlantic is committed to providing high quality, inclusive, and non-judgmental sexual and reproductive healthcare to all genders, sexual orientations, races, religions, abilities, ethnicities, and cultural backgrounds. We are a team of compassionate and dedicated staff members, and we will continue to open our doors to those who need it.
PPSAT Offices will be closed from December 23rd to January 2nd. This closure will impact the Talent Acquisition team's response times, and we greatly appreciate your patience.
Are you worried about applying because you feel like you don’t meet every single requirement? At PPSAT we are dedicated to building a diverse, inclusive and authentic workplace! If you’re excited about a position but your past experience doesn’t align perfectly with every qualification in the job posting, we encourage you to apply anyways. You may be the candidate PPSAT is looking for!
The challenges we face, past and present, only strengthen PPSAT's commitment to our communities and employees. Our work has staying power. Come join us one of the nation's leading providers of sexual and reproductive healthcare.
Learn more: ppsatcareers.org
Why Planned Parenthood South Atlantic?
We are powerful educators, advocates and innovators for health care. Be part of the diverse Planned Parenthood family. Work hand in hand with like-minded individuals in an environment built on collaboration, open communication, and mutual respect. We’re looking for passionate, dedicated people who are eager to make positive contributions to their community and to our mission.
What's interesting about this job?
The Credentialing Coordinator works with employees and insurance payers to ensure payer and provider credentialing, re-credentialing and licensure is completed in a timely manner. They build rapport with licensed staff and collaborates to obtain required licenses and credentialing documents. The Coordinator maintains staff licenses and tracks renewal dates and expirations. They ensure all onboarding providers hold the adequate licensure for their position.
Who You Are:
Passionate about reproductive health care and justice.
Believe sexual health is essential to every person’s overall health, well-being, and happiness.
Excited about working on multiple projects.
Excellent with engaging and developing relationships.
Experience working with multiple state requirements.
Passion for organization and strong attention for detail.
Excellent time management skills
What You'll Do: (but not limited to)
Maintain confidentiality and accuracy of all provider credentialing files in accordance with PPSAT, PPFA and legal standards.
Update credentialing databases such as CAQH, NPPES, and Ready Doc with accurate provider information.
Review credentialing related issues/denials and work with appropriate parties to resolve.
Routinely update rosters and submit them upon request.
Performs payer calls to obtain updates on provider’s credentialing statuses and implement follow up procedures to ensure credentialing applications are moving forward.
Tracks and performs re-credentialing for health centers and provider accounts for various payers. Ensures there are no lapses in provider’s credentialing statuses.
Work with Director of Revenue Cycle in auditing credentialing tasks and dates.
Maintain credentialing relationship with insurance representatives when applicable.
Submits provider/facility update forms and track re-credentialing dates.
Perform re-credentialing for each provider in accordance with PPFA standards.
Communicates with payers with roster updates, health center updates, and termination updates.
Send payers quarterly updates and/or provide provider update through payer portals.
Schedule:
Monday through Friday working 40 hours per week from 9:00AM to 5:00PM. This position will work remotely with some on-site work.
What You Get:
Full Time:
Full benefits: medical, dental, and vision
Health Reimbursement Account
403B Retirement Plan with matched contributions
Paid Time Off
Holiday Pay
Employee Assistance Program
Compensation:
PPSAT's compensation philosophy is based in equity and transparency. This position's minimum pay rate is
$ 18.55 an hour. Starting offers are determined by both the candidate's experience and internal equity within the pay grade.
A complete application includes a cover letter and resume.
This position requires a background check once a job offer is extended to the final candidate. PPSAT does not discriminate in employment and understands the many barriers candidates may face when applying to jobs. One of those barriers is the criminal justice system and its effects on background checks. We understand that these barriers more often negatively impact BIPOC. A conviction is not an absolute bar to employment. Factors such as the age of the offense, evidence of rehabilitation, the seriousness of violation, and job relatedness are considered in all employment decisions.
PPSAT is committed to workforce diversity and aspire to reflect the communities we serve. To that end, we strongly encourage BIPOC, LGBTQ identifying individuals, people with disabilities and other underrepresented groups to apply.
Planned Parenthood South Atlantic is an equal opportunity employer.
No phone calls please.
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