Credentialing Coordinator

This is a fully remote position, open to applicants in Colorado, +4 more states.

📋 Description

• Facilitate the credentialing process and perform primary source verification for both initial and recredentialing of healthcare providers.

• Complete and submit applications for provider payers while assisting in the acquisition of provider attestations.

• Monitor and manage provider credentials and related requirements, ensuring current documentation is obtained for ongoing compliance.

• Process applications based on established priorities and timelines.

• Maintain accurate and up-to-date provider information in credentialing databases and associated systems.

• Track the progress of provider applications and follow up with both providers and payers.

• Communicate effectively with internal and external stakeholders, as well as insurance companies and agencies via phone and email.

• Provide support to internal stakeholders regarding provider data loading and validation.

• Generate departmental reports for external stakeholders concerning data and provider records.

• Ensure accuracy and adherence to all HIPAA guidelines.

• Work under the supervision of the Manager of Credentialing.

• Represent CARD with professionalism and ethical standards to both internal and external stakeholders.

⛳️ Requirements

• A high school diploma or equivalent is required.

• An associate or bachelor’s degree is preferred.

• A minimum of 2 years of experience in provider enrollment/credentialing is preferred, though not mandatory.

• Strong written and verbal communication skills are essential.

• Proficiency in Excel, Word, and PowerPoint is required.

• Customer service experience with either internal or external customers is necessary.

• Proficiency in English, both verbal and written, is a must.

• Ability to sit for extended periods is required.

• Capability to work on a computer for the majority of the day is necessary.

• Ability to use the phone and communicate as required.

• Must work in accordance with HIPAA guidelines.

🏝️ Benefits

• Remote work environment.

• Hourly compensation of $20.00.