Credentialing Coordinator

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

📋 Description

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

• Maintain and oversee all licenses and certifications in the credentialing system to ensure compliance across all regions.

• Engage in training sessions and special projects, which include familiarizing oneself with new system workflows, completing necessary training, and adopting updated processes within prescribed timeframes.

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

• Verify that all facility and provider licenses and certifications are accurate and remain in good standing.

• Complete necessary forms and supporting documents to secure hospital privileges for physicians, as required.

• Ensure that processing and reporting deadlines are consistently met.

• Meet regularly with the Credentialing Supervisor and other team members to provide updates on credentialing and enrollment issues.

• Undertake other responsibilities as directed by management.

⛳️ Requirements

• A minimum of three (3) years of experience in credentialing or payer enrollment within a managed care or provider environment, with a preference for those who have worked with a credentialing database.

• In-depth knowledge of the payer environment and associated issues.

• Ability to maintain a flexible schedule, including the potential for overtime and weekend work, as needed.

• Exceptional customer service and communication abilities.

• Capacity to work both independently and collaboratively within a team.

• Proficient experience in using Excel spreadsheets and Microsoft Word documents.

• A college degree or equivalent professional 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 insurance 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.