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Company: Kelly Services
Location: Coppell, TX
Career Level: Entry Level
Industries: Recruitment Agency, Staffing, Job Board

Description

Credentialing & Enrollment Coordinator
 
12 week/Temp-to-hire
Hybrid Schedule - Reporting to Coppell, TX.
Competitive pay 
Must have experience with Medicaid and Medicare enrollment.
 
Summary of Position
 
The Credentialing and Enrollment Coordinator is responsible for performing and maintaining the enrollment and credentialing process for health insurance plans, state Medicaid entities, and Medicare for all company-owned entities. Included in these activities are the processing of Commercial and Governmental applications and re-applications, initial mailing, review, and loading into the database tracking system ensuring timing and quality standards are maintained.  Additionally, the Credentialing and Enrollment Coordinator must have the ability to prioritize and organize complex activities/projects and track progress as well as work effectively and collaboratively with others. The ideal candidate will possess contract administration experience, including appropriate analytical skills, attention to detail, and will be able to work independently.
 
 
Key Job Elements 
 

  • Securing and maintaining all health insurance plan enrollment and re-enrollment for the Company
  • Perform necessary follow-up with appropriate state and federal agencies
  • Completing commercial plan facility credentialing and re-credentialing forms for the Director of Managed Care
  • Securing Electronic Funds Transfer form with appropriate Company authorized signature
  • Create and maintain web portal registration for executed contracts
  • Manage the controlled flow of contract documents through the company to secure appropriate Legal review and Executive signatures
  • Maintain Commercial Contract Summary Log
  • Maintain government entity Tracking log
  • Maintain department files in an organized, accurate, secure manner.
  • Manage incoming and outgoing departmental mail.
  • Process credentialing applications/enrollments and the supporting documentation.
o   Enroll entities in Medicare and revalidate information, as necessary.
o   Enroll entities in State Medicaid programs and revalidate information as necessary.
o   Complete commercial health plan credentialing and recredentialing documents for all entities.
o   Complete credentialing and recredentialing documentations for all entities which require physician credentialing.
  • Track license and certification expirations to confirm renewals.
  • Maintain accurate information for entities, updating their credentials as necessary.
  • Perform data entry into databases or systems.
  • Responsible for health plan/government entity provider-related communications pertaining to credentialing/enrollment.
  • Respond to internal and external customer inquiries regarding credentialing/enrollment status.
  • Perform other duties, as required, or assigned.
 
Knowledge/Experience
  • High School diploma or equivalent is required.
  • Bachelor degree preferred.
  • One plus (1+) years of experience in healthcare contracting.
  • Must have experience with Medicaid and Medicare enrollment.
  • Computer skills to include Word, Excel, Power Point, Outlook.
  • Strong interpersonal and communication skills, both written and oral, with varying levels of colleagues and/or management.
  • Ability to manage open projects to the end with successful follow up.
  • Attention to detail and strong organization skills.
  • Ability to work independently within guidelines and company policies.
  • Ability to effectively present information and respond to questions from managers, clients, and customers.


As part of our promise to talent, Kelly supports those who work with us through a variety of benefits, perks, and work-related resources. Kelly offers eligible employees voluntary benefit plans including medical, dental, vision, telemedicine, term life, whole life, accident insurance, critical illness, a legal plan, and short-term disability. As a Kelly employee, you will have access to a retirement savings plan, service bonus and holiday pay plans (earn up to eight paid holidays per benefit year), and a transit spending account. In addition, employees are entitled to earn paid sick leave under the applicable state or local plan. Click here for more information on benefits and perks that may be available to you as a member of the Kelly Talent Community.

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About Kelly

Work changes everything. And at Kelly, we're obsessed with where it can take you. To us, it's about more than simply accepting your next job opportunity. It's the fuel that powers every next step of your life. It's the ripple effect that changes and improves everything for your family, your community, and the world. Which is why, here at Kelly, we are dedicated to providing you with limitless opportunities to enrich your life—just ask the 300,000 people we employ each year.

Kelly Services is proud to be an Equal Employment Opportunity and Affirmative Action employer. We welcome, value, and embrace diversity at all levels and are committed to building a team that is inclusive of a variety of backgrounds, communities, perspectives, and abilities. At Kelly, we believe that the more inclusive we are, the better services we can provide. Requests for accommodation related to our application process can be directed to Kelly's Human Resource Knowledge Center. Kelly complies with the requirements of California's state and local Fair Chance laws. A conviction does not automatically bar individuals from employment. Kelly participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.


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