Provider Credentialing & Data Records Coordinator

Founded in 1934, Medical Mutual is the oldest and one of the largest health insurance companies based in Ohio. We provide peace of mind to more than 1.6 million Ohioans through our high-quality health, life, disability, dental, vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual plans.

Medical Mutual' s status as a mutual company means we are owned by our policyholders, not stockholders, so we don't answer to Wall Street analysts or pay dividends to investors. Instead, we focus on developing products and services that allow us to better serve our customers and the communities around us and help our members achieve their best possible health and quality of life.

The Provider Credentialing & Data Records Coordinator position allows you the flexibility to work hybrid as long as you reside within a 50-mile radius of the Brooklyn, OH Medical Mutual office.

Provides administrative support to the Provider Credentialing and Data Management department. Maintains physical and electronic files and record keeping systems and administrative processes and procedures.

Responsibilities

• Produces and distributes internal and external correspondence including memos, faxes, letters and forms; Create, prepares and distributes regularly scheduled reports.
• Creates and generates letters for both standard and non-standard credentialing notifications.
• Updates provider statuses based on committee decisions and inputs credentialing information in provider data systems.
• Provides administrative support for department Manager, Supervisor, Credentialing Chairperson, Delegation Reviewer and Credentialing Committee.
• Oversees, manages and reconciles credit card and other departmental invoices; monitors available funds on open purchase orders and ensures proper level of funding available.
• Prepares internal documents related to management of departmental contracts; LDERs, corporate funds and purchase requisition processes. Creates and maintains systems for tracking of contracts, vendor performance, key issues and renewal dates.
• Acts as a central contact and liaison with other departments, providers, vendors and outside agencies. Manages incoming and external telephonic communications.
• Obtains education, board certification and licensed primary source documentation per departmental policy.
• Posts updated content to the departmental SharePoint sites.
• Collects and distributes department mail.
• Performs other duties as assigned.

Qualifications

Education and Experience:

• Associates Degree in Business or Healthcare Administration or related field, or equivalent combination of education/training (minimum high school diploma or GED) and experience.
• 2 years of experience in health insurance operations or equivalent general office experience in the health care industry.

Technical Skills and Knowledge:

• Knowledge of provider credentialing and/or database management procedures.
• Intermediate Microsoft Office (Word, Excel), database reporting, OnBase (document management system), and internet navigation skills. Basic proficiency with any of the following: Visio, Adobe Professional, RightFax, WebEx, and SharePoint.
• Strong data entry skills.
• Solid research skills.

Medical Mutual is looking to grow our team! We truly value and respect the talents and abilities of all of our employees. That's why we offer an exceptional package that includes:

A Great Place to Work:

• Top Workplace in Northeast Ohio. Year after year we've received this recognition!
• On-site wellness center at most locations. Enjoy personal trainers, towel service, locker room, weight room, elliptical machines, and a variety of classes!
• On-site cafeteria serving hot breakfast and lunch, at most locations. Choices ranging from salad bar, made to order, hot and cold sandwiches, or a variety of entrees cooked fresh daily. Convenience store at most locations
• Employee discount program. Discounts at many places in and around town, just for being a Medical Mutual team member
• Business Casual attire

Excellent Benefits and Compensation:

• Competitive compensation plans
• Employee bonus program
• 401(k) with company match and an additional company contribution
• Excellent medical, dental, vision, and disability insurance

An Investment in You:

• Career development programs and classes
• Mentoring and coaching to help you advance
• Education reimbursement up to $5K per year

About Medical Mutual:

We strive to create peace of mind. Our customers can trust us to do things right and to help them get value from their health plan. We're the largest health insurer in Ohio and for over 85 years, we've been serving our members and the Ohio communities where they live and work. Medical Mutual is a Top Place to Work in Northeast Ohio with exceptional career opportunities that offer challenge, growth and a great work/life balance. We want talented, innovative, and driven people to help us continue to be the best health insurance choice of Ohioans and help make Ohio the best it can be! Our headquarter building is located in the heart of downtown Cleveland and we have multiple offices throughout the state. Join us at one near you!

At Medical Mutual and its family of companies we celebrate differences and are mutually invested in our employees and our community. We are proud to be an Equal Employment Opportunity and Affirmative Action Employer. Qualified applicants will receive consideration for employment regardless of race, color, religion, sex, sexual orientation, gender perception or identity, national origin, age, marital status, veteran status, or disability status.

We maintain a drug-free workplace and perform pre-employment substance abuse and nicotine testing. Medical Mutual and its family of companies are considered a federal contractor. The federal government is requiring that all employees of its contractors be fully vaccinated. To be in compliance with this federal requirement, Medical Mutual requires COVID-19 vaccinations, or qualifying exemption documentation, for all employees. Proof of vaccination status is required at time of hire.