Credentialing Coordinator

Job Description

We are seeking a meticulous Credentialing Coordinator to ensure that healthcare professionals and facilities comply with accreditation and licensure requirements. This role involves maintaining accurate records, communicating with providers and insurance companies, and managing the credentialing process efficiently.

Responsibilities

• Manage the credentialing and re-credentialing process for all providers, ensuring compliance with applicable regulations.
• Complete and submit provider applications and follow up on any outstanding items.
• Maintain accurate and up-to-date provider files and records.
• Ensure timely completion of all provider enrollment activities.
• Collaborate with internal departments to resolve provider issues and grievances.
• Participate in internal and external audits as needed.
• Stay informed of credentialing trends and best practices.

Requirements

Education

• Bachelor's degree in healthcare administration or business administration
• Certification in healthcare credentialing is a plus

Experience

• Minimum of 2-3 years of experience in provider enrollment and credentialing processes

Technical Skills

• Credentialing Software
• Microsoft Office Suite

Soft Skills

• Organizational Skills
• Interpersonal Skills

Languages

• English: Fluent

Advantageous

• Experience with implementing credentialing software: Proficiency in software implementation enhances operational efficiency.
• Master's degree in healthcare administration or related field: Advanced degree can provide strategic insights into healthcare management.

Benefits

• Health benefits package including dental and vision
• 401(k) plan with generous matching contributions
• Paid holidays and vacation days
• Opportunities for continuous education and training

Company Culture

• Integrity: Honesty and integrity guide our interactions with each other and our clients.
• Employee Support: We provide support systems for personal and professional growth.
• Community Engagement: We actively participate in community service and outreach efforts.