Credentialing Specialist (Project Management Coord) at Indiana University

Posted in Other 2 days ago.

Location: Indianapolis, Indiana





Job Description:

Department



DENTISTRY-FINANCIAL AFFAIRS (IN-DSFA-IUINA)



Department Information



The Indiana University School of Dentistry has been advancing oral health in the state and beyond since 1879, when it was founded as the Indiana Dental College. Over the past 140 years, we've become a national leader in preparing oral health professionals, conducting innovative research that has an impact on patients and the profession, and providing patient-centered care.



Job Summary



Department-Specific Responsibilities

  • Coordinates, monitors, and maintains all aspects of the credentialing and re-credentialing process.
  • Collects the necessary documentation needed to credential newly hired providers and re-credential existing providers.
  • Prepares credentialing applications and submits the required paperwork to ensure the providers are credentialed in a timely manner.
  • Maintains location and provider participation information and credentialing effective dates.
  • Tracks provider enrollment applications and updates internal systems/databases.
  • Tracks license and certification expirations for all providers to ensure timely renewals.
  • Works directly with insurance companies to correct provider participation issues and respond to any inquiries.
  • Works closely with Director of Revenue Cycle and the billing staff to identify and resolve any denials or authorization issues related to provider credentialing.
  • Completes contracting/re-contracting applications and agreements for new locations and added lines of business within existing locations.
  • Tracks and submits incident reports for patients.
General Responsibilities
  • Coordinates support for project management activities, resource allocation, and communication.
  • Develops a schedule designed to meet necessary deadlines and communicates with team members.
  • Monitors project progress and handles moderately complex issues that arise.
  • Ensures projects adhere to frameworks and all documentation is maintained appropriately for each project.
  • Collaborates with cross functional teams with varying levels of seniority and experience to support various programs.
  • Performs a variety of administrative skills and prepares correspondence related to the project.
  • Maintains a detailed, organized file and records system.



Qualifications



Combinations of related education and experience may be considered. Education beyond the minimum required may be substituted for work experience. Work experience beyond the minimum required may be substituted for education.


EDUCATION



Required



  • High school diploma or equivalent (such as HSED or GED)

WORK EXPERIENCE



Required



  • 2 years of relevant experience

SKILLS



Required



  • Demonstrates project management skills

  • Proficient communication skills

  • Excellent collaboration and team building skills

  • Demonstrates time management and priority setting skills

  • Effective interpersonal skills




Working Conditions / Demands



This role requires the ability to effectively communicate and to operate a computer and other standard office productivity equipment. The position involves sedentary work as well as periods of time moving around an office environment and the campus. The person in this role must be able to perform the essential functions with or without an accommodation.



Work Location



IU Indianapolis



Advertised Salary



$37,000 - $42,000 per year depending on experience



Benefits Overview



For full-time staff employees, Indiana University offers a wide array of benefits including:


  • Multiple plan options for medical insurance

  • Dental insurance

  • Health Savings Account with generous IU contribution

  • Life insurance, LTD, and AD&D options

  • Base retirement plan contribution from IU, subject to vesting

  • Additional supplemental retirement plan options

  • Tuition benefit for IU classes

  • 10 paid holidays per year

  • Generous Paid Time Off

  • Paid Parental Leave

  • Employee Assistance Program (EAP)

Learn more about our benefits by reviewing our online Benefits Brochure.



Job Classification



Career Level: Intermediate


FLSA: Nonexempt


Job Function: General Administration


Job Family: Project Management
Click here to learn more about Indiana University's Job Framework.



Posting Disclaimer



This posting is scheduled to close at 11:59 pm EST on the advertised Close Date. This posting may be closed at any time at the discretion of the University, but will remain open for a minimum of 5 business days. To guarantee full consideration, please submit your application within 5 business days of the Posted Date.


If you wish to include a cover letter, you may include it with your resume when uploading attachments.



Equal Employment Opportunity



Indiana University is an equal employment and affirmative action employer and a provider of ADA services. All qualified applicants will receive consideration for employment based on individual qualifications. Indiana University prohibits discrimination based on age, ethnicity, color, race, religion, sex, sexual orientation, gender identity or expression, genetic information, marital status, national origin, disability status or protected veteran status. Indiana University does not discriminate on the basis of sex in its educational programs and activities, including employment and admission, as required by Title IX. Questions or complaints regarding Title IX may be referred to the U.S. Department of Education Office for Civil Rights or the university Title IX Coordinator. See Indiana University's Notice of Non-Discrimination here which includes contact information.



Campus Safety and Security



The Annual Security and Fire Safety Report, containing policy statements, crime and fire statistics for all Indiana University campuses, is available online. You may also request a physical copy by emailing IU Public Safety at iups@iu.edu or by visiting IUPD.



Contact Us



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Telephone: 812-856-1234
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