Credentialing Coordinator

This is a fully remote position, open to applicants in Arizona.

📋 Description

• Oversee the precise and efficient Credentialing and Recredentialing processes for providers within the Medicaid Business Segment.

• Guarantee the timely and accurate handling of credentialing and recredentialing for individual practitioners as well as organizations.

• Organize meetings for the Credentialing Committee.

• Identify and relay agenda items for the Credentialing Committee to the immediate supervisor.

• Ensure prompt collaboration with the Credentialing Verification Organization (CVO).

• Review and uphold the accuracy and completeness of all applications.

• Accurately and efficiently input primary source verification data into the credentialing database.

• Produce and distribute approval letters to participating providers.

• Liaise with Network Services regarding the status of provider and organizational credentialing.

⛳️ Requirements

• A minimum of 2 years of experience in a healthcare-related field.

• At least 2 years of experience in provider credentialing.

• High School Diploma or GED in a general field of study.

• An Associate's Degree in a general field of study is preferred.

• Certified Provider Credentialing Specialist (CPCS) certification is preferred.

🏝️ Benefits

• Health insurance.

• Flexible work arrangements.