The Opportunity

Teladoc Health is transforming how people access and experience healthcare. Recognized as the world leader in virtual care, we are partnering with over a thousand clients to serve hundreds of thousands (soon millions!) of people living with chronic conditions every day. Teladoc Health offers a whole person virtual care platform that empowers all people everywhere to live their healthiest lives by transforming the healthcare experience, from acute and primary care to chronic care, mental health, and specialty care. Our team of data scientists aggregate and interpret substantial amounts of health data and information to create actionable, personalized, and timely health signals for our members. This approach delivers better clinical and financial outcomes while creating a different and better healthcare experience for people everywhere.

The Credentialing Coordinator takes direction from the Credentialing Manager and is responsible for departmental meeting of day-to-day quality and production goals to timely credential and recredential providers, as well as other tasks and needs of active providers in the Teladoc Health Medical Group, P.A.  The Credentialing Coordinator will collaborate with the Credentialing Manager to identify and assist in resolving production barriers and collaborate with Provider Recruiting and Relations to meet company business needs.  

The Credentialing Coordinator will individually contribute with the processing of Credentialing applications, obtaining, and completing verification of providers’ medical experience, state licensure, Drug Enforcement Administration (DEA) registration, Board Certification, etc., and evaluating data and determining suitability for National Committee for Quality Assurance (NCQA) requirements.


Responsibilities

  • Responsible for timely processing of initial/recredentialing applications for completeness
  • Able to act independently to review and assess provider applications for completion, identify credentialing concerns, and request appropriate follow-up information from practitioner(s) or other sources as needed
  • Completes primary source verification and credentialing in accordance with regulatory and NCQA accreditation standards and guidelines
  • Competent in all aspects of credentialing and adhering to all company policies, procedures, state, federal, and certification bodies such as, but not limited to NCQA, HIPAA, PHI, CAQH, CMS/Medicare, and Medicaid
  • Utilizes credentialing resources and other software as required. Maintain credentialing databases by ensuring data is entered accurately and in timely manner
  • Responsible for quality and integrity of provider files. Ensure files are maintained according to and all applicable governing agencies and internal quality and security policies, to include both paper and electronic document management
  • Display excellent customer service skills by following up with external providers and partners timely, accurately and professionally
  • Support special projects as needed

Candidate Profile

  • Knowledge/experience with MD-Staff Credentialing Database preferred
  • Excellent oral communication skills; must be able to articulate complex concepts to audience of varying levels of knowledge
  • Strong written communications skills: incumbent is expecting to follow e-mail etiquette and be capable of producing documentation with proper outlining and grammar followed
  • Ability to independently organize workload and manage multiple projects within deadlines
  • Effective team player with the ability to effectively collaborate across and outside the organization to support clinical operations, interacting with staff, executives, telemedicine providers, clients, and others
  • Meticulous follow-through of delegated tasks, including follow-up with staff to ensure completion, quality, and meeting deadlines
  • Ability to excel in a fast-paced, high-pressure environment
  • Strong organizational skills, including time management and ability to manage high-volume email correspondence
  • Working knowledge of NCQA Standards and Guidelines in Credentialing/Recredentialing and other regulatory/compliance requirements is highly desirable
  • Intermediate computer skills in Microsoft Excel, Outlook, and Word; Advanced skills preferred
  • High school diploma / GED required.  College degree highly desirable
  • Minimum 2 years’ experience in insurance, medical or healthcare Credentialing
  • Certified Provider Credentialing Specialist (CPCS) or other credentialing certification preferred

Why Join Teladoc Health?

A New Category in Healthcare:  Teladoc Health is transforming the healthcare experience and empowering people everywhere to live healthier lives.   

Our Work Truly Matters: Recognized as the world leader in whole-person virtual care, Teladoc Health uses proprietary health signals and personalized interactions to drive better health outcomes across the full continuum of care, at every stage in a person’s health journey.   

Make an Impact: In more than 175 countries and ranked Best in KLAS for Virtual Care Platforms in 2020, Teladoc Health leverages more than a decade of expertise and data-driven insights to meet the growing virtual care needs of consumers and healthcare professionals.   

Focus on PEOPLE:  Teladoc Health has been recognized as a top employer by numerous media and professional organizations. Talented, passionate individuals make the difference, in this fast-moving, collaborative, and inspiring environment.  

Diversity and Inclusion:  At Teladoc Health we believe that personal and professional diversity is the key to innovation. We hire based solely on your strengths and qualifications, and the way in which those strengths can directly contribute to your success in your new position.   

Growth and Innovation:  We’ve already made healthcare yet remain on the threshold of very big things. Come grow with us and support our mission to make a tangible difference in the lives of our Members.  

As an Equal Opportunity Employer, we never have and never will discriminate against any job candidate or employee due to age, race, religion, color, ethnicity, national origin, gender, gender identity/expression, sexual orientation, membership in an employee organization, medical condition, family history, genetic information, veteran status, marital status, parental status or pregnancy (including breastfeeding – we have a mother’s room in both our offices). In our innovative and inclusive workplace, we prohibit discrimination and harassment of any kind.

 

 

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