About Us
Sonder Health Plans, Inc.
We know you are not just a number.
We are not just another health plan.
Work with the health plan as unique as you are.
Qualifications
- One to three (1-3) years of directly related credentialing experience.
- Knowledge of medical terminology and strong communication skills
- Credentialing platform software experience.
- Ability to practice confidentiality and follow HIPAA regulations with patient information; ability to oversee HIPAA compliance by other staff.
- Ability to practice professional ethics and use discretion.
- Skilled in using computers with a typing speed of 40 wpm or greater.
Responsibilities and Duties
- Initiate the credentialing and enrollment process for providers as soon as a contract is signed.
- Monitor all credentialing, re-credentialing, enrollment and DEA application processes.
- Follow up with vendors as needed to ensure compliance.
- Accurately and securely clinical staff member data files.
- Submit provider/clinical staff documentation to Board of Directors for review and approval.
- Track the credentialing and re-credentialing process from start to finish ensuring it is completed in a timely manner.
- Maintains constant contact with provider/clinical in the credentialing process to ensure all documents are provided and data is accurately recorded.
- Maintains tracking system for credentialing renewal dates for providers and clinical support personnel.
- Works to verify all necessary documents are provided and contacts made to ensure clinical practicing privileges with insurance plans are complete for each provider.
- Maintains highly organized credentialing files. Monitors and tracks training programs for all personnel.
- Provides timely updates to Inhouse Clinical Staff.
- Receives, tracks, monitors and facilitates CME requests and other educational certifications.
Position Requirements
- Associates Degree.
- One to three (1-3) years of directly related credentialing experience
- Proficient knowledge of the following applications MS Outlook, Word, Excel, Powerpoint