Credentialing Coordinator

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

📋 Description

• Oversee the onboarding processes for newly appointed clinical providers, ensuring that all credentialing prerequisites are fulfilled prior to the submission of enrollment.

• Confirm provider demographic and professional details, including licenses, certifications, educational background, and credentialing documents.

• Establish and manage NPI records, CAQH profiles, MedTrainer profiles, and other credentialing system records.

• Update CentralReach provider profiles and claims settings as needed.

• Gather licenses, board certifications, curricula vitae, and necessary supporting documentation.

• Assist providers with payer enrollment applications and attestations.

• Deliver completed enrollment packets along with supporting documentation to the Credentialing Enrollment Specialist.

• Collaborate with Human Resources, Clinical Operations, hiring managers, and enrollment teams to track onboarding progress and set target start dates.

• Keep accurate credentialing records and monitor license expirations and other requirements.

• Address provider inquiries regarding onboarding, credentialing, and enrollment documentation.

• Maintain workflows, checklists, standard operating procedures, and processing documentation.

• Identify opportunities to enhance onboarding efficiency and improve the provider onboarding experience.

⛳️ Requirements

• Outstanding organizational capabilities, meticulous attention to detail, and a strong commitment to accuracy.

• Proficient in managing multiple onboarding, application, and credentialing tasks while adhering to deadlines.

• Strong skills in prioritization and time management within a fast-paced environment.

• Competent in coordinating provider onboarding and collecting necessary credentialing and enrollment documentation promptly.

• Proficient in Microsoft Office Suite, as well as provider database, credentialing, and enrollment systems.

• Experience in maintaining accurate records, ensuring data integrity, and managing documentation within credentialing and onboarding platforms.

• Excellent verbal and written communication skills.

• Ability to adhere to established processes while seeking improvements in onboarding efficiency.

• Understanding of confidentiality standards and the capability to handle sensitive information with discretion.

• Capability to work independently as well as collaborate with Human Resources, Clinical Operations, Credentialing, and Compliance teams.

• High school diploma or equivalent is required.

• An Associate's or Bachelor's degree in Healthcare Administration, Business Administration, or a related field is preferred.

• At least one year of experience in healthcare onboarding, credentialing, provider enrollment, medical office administration, or related healthcare support roles.

🏝️ Benefits

• Fully remote work arrangement.