Mercy Medical Center Clinton Credentialing Assistant – MediGold – Corporate Services Center in Columbus, Ohio
OH1CH70517000 MCHP Provider Credentialing
Expected Weekly Hours:
At Mount Carmel, we work to continuously inspire one another. Here, all are welcome. It is this culture of humility and compassion that sets Mount Carmel apart. We see the big picture and do the right thing. That means a dedication to the well-being our both our colleagues and the patients they serve.
MediGold is a not-for-profit Medicare Advantage insurance plan serving seniors and other Medicare beneficiaries in Ohio. We’re dedicated to providing excellent customer service, cost-effective care, and exceptional healthcare coverage. We rely on talented colleagues in a wide variety of professional roles including information technology, financial analysis, audit, provider relations and more.
Job Description Details:
The Credentialing Specialist position provides support to all credentialing activities of the Mount Carmel Health Plan (MCHP)Credentialing Department. This position is responsible for accurate entry and maintenance of provider data in MCHP Provider systems.
Exhibits each of the Mount Carmel Service Excellence Behavior Standards holding self and others accountable and role modeling excellence for all to see. For example: demonstrates friendliness and courtesy, effective communication creates a professional environment and provides first class service
Provides data entry support to the Credentialing Department as assigned.
Reviews source documents such as Council for Affordable Quality Healthcare (CAQH),=
Provider Change forms, W-9s and other sources for additions and modifications related to data entry in the operating system according to departmental policies and procedures.
Enters out of network provider demographics and other information into the operating system in an accurate and timely manner using the MCHP data standards.
Prioritizes daily work in support of the Credentialing Coordinators.
Generates monthly files which support the online provider directory and creates the initial download file for the annual printed provider directory.
Responsible for consistent compliance with data entry standards.
Scans hardcopy provider credentialing documents into shared online files. Generates the Specialist and Primary Care Provider (PCP) termination letters.
All other duties as assigned.
Education: High School diploma required
Demonstrates organization skills with good time management
Strong technical/PC skills required
Demonstrates internal and external verbal communication skills
Demonstrates ability to handle confidential information
Discovering opportunities, support and excellence – all while making a real difference in patients’ lives – begins at Mount Carmel. Find a new beginning and advance your career with us.
Mount Carmel and all its affiliates are proud to be equal opportunity employers. We do not discriminate on the basis of race, gender, religion, sexual orientation or physical ability.
Trinity Health's Commitment to Diversity and Inclusion
Trinity Health employs more than 120,000 colleagues at dozens of hospitals and hundreds of health centers in 21 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.
Trinity Health offers rewarding careers in a community environment with all the advantages of working at one of the nation's largest health systems. We provide high-quality, people-centered care in 22 states through our network of hospitals, facilities, community-based services, and continuing care locations - including home care, hospice, Program of All Inclusive Care for the Elderly (PACE), and senior living facilities. If you are looking for a rewarding clinical or administrative position, you'll find exceptional career possibilities, opportunities for advancement and a job with meaning at Trinity Health.
Trinity Health employs more than 131,000 colleagues across 22 states. We honor and embrace a diverse representation of people, ideas and backgrounds. Our dedication to diversity is evident in our commitment to training, education, recruitment, retention and development, as well as community partnerships and supplier diversity.
Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences and health practices of the communities we serve and to apply that knowledge to produce positive outcomes. We recognize that each of us has a different way of thinking and perceiving our world, and that our differences not only serve to unite us, but also lead to innovative solutions.