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Aligned Orthopedic Partners

Credentialing Coordinator

Aligned Orthopedic Partners, Bethesda

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Who we are:
Aligned Orthopedic Partners is a well-respected private orthopedic team comprised of highly trained, board-certified orthopedic surgeons devoted to delivering patients with the highest orthopedic care possible. Our commitment to finding the best solutions for individual needs sets us apart from the competition. We take pride in providing exceptional care while remaining friendly, courteous, and efficient. Aligned Orthopedic Partners is recruiting an experienced Credentialing Coordinator to join our diverse group of talented professionals!
What you will do:
  • Oversee the credentialing and recredentialing processes for healthcare providers, ensuring all applicants are processed accurately and timely.
  • Verify provider information, including education, training licenses, certifications, and liability coverage to ensure compliance with legal and regulatory requirements.
  • Screening practitioners' applications and supporting documentation to ascertain their eligibility.
  • Collecting information from the National Practitioner Data Bank (NPDB), the applicant and their malpractice insurer, and other relevant sources.
  • Identifying discrepancies in information and conducting follow-ups.
  • Presenting applications to the facility's Credentialing Committee.
  • Assist healthcare providers and staff with inquires related to the credentialing process and maintain effective communication throughout the process.
  • Coordinate with various departments to collect necessary documentation and respond to credentialing audits as required.
  • Responding to health plan provider inquiries.
  • Prepare and maintain comprehensive credentialing files for each provider in Modio, ensuring that all documentation is current and accessible.
  • Ensuring compliance with applicable laws, regulations, procedures, and policies.
We'd love to hear from you if you:
  • High school diploma, GED, or suitable equivalent.
  • 2+ years of credentialing experience with hospital medical staff.
  • NAMSS Certification as a Certified Professional Medical Services Manager (CPMSM) or Certified Provider Credentials Specialist (CPCS).
  • Knowledge of medical credentialing and privileging procedures and standards.
  • Excellent verbal and written communication skills.
  • Proficient with Microsoft Office Word and Excel.
  • Proficient touch-typing skills.
  • Ability to focus for extended periods.

What we offer:
We strive to enrich the lives of our team and offer a variety of health and wellness benefits including medical and dental benefits, employer-paid short-term and long-term disability coverage, a matching 401K program, generous paid time off, and an environment that celebrates continuous learning and development.
Equal Opportunity Employer
Aligned Orthopedic Partners is an equal-opportunity employer. We promote diversity of thought, culture, and background. We celebrate what makes us different and are committed to building a team that represents a variety of experiences. All employment is decided on the basis of qualifications, merit, and business need.
Salary Description
$20.00 to $25.00