Credentialing Coordinator

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

📋 Description

• Document and oversee all credentialing/enrollment, re-credentialing/re-enrollment, and hospital privileging activities within the credentialing platform.

• Maintain and track all licenses and certifications in the credentialing platform to ensure compliance across all regions.

• Participate in training sessions and special projects, which include learning new system workflows, completing necessary training, and adopting updated processes within established timeframes.

• Coordinate provider enrollment activities, encompassing initial enrollments and re-credentialing for all groups and providers.

• Ensure that all facility and provider licenses and certifications are up-to-date and in good standing.

• Complete forms and supporting documentation required to secure hospital privileges for physicians, as needed.

• Ensure that processing and reporting deadlines are consistently met.

• Regularly meet with the Credentialing Supervisor and team members to provide updates on credentialing and enrollment issues.

• Perform additional functions as required by management.

⛳️ Requirements

• A minimum of three (3) years of credentialing or payer enrollment experience in a managed care or provider setting, with experience using a credentialing database preferred.

• Specific knowledge of the payer environment and related issues.

• Ability to work a flexible schedule, including overtime and weekends, as required.

• Excellent customer service and communication abilities.

• Capacity to work independently as well as collaboratively within a team.

• Proficient experience with Excel spreadsheets and Microsoft Word documents.

• A college degree or equivalent work experience in healthcare is preferred.

• Experience with credentialing databases, such as IntelliCred, E-Vips, Vistar, Cactus, Symed, etc., is preferred.

🏝️ Benefits

• Medical, dental, and vision coverage.

• Paid time off plan.

• Health savings account (HSA).

• 401k savings plan.

• Access to wages before payday with myFlexPay.

• Flexible spending accounts (FSAs).

• Short- and long-term disability coverage.

• Work-Life resources.

• Paid parental leave.

• Healthy lifestyle programs.