Temporary Credentialing Coordinator - Remote

Overview

As a Credentialing Coordinator, you will be responsible for verifying and maintaining records of practitioners’ credentials and ensuring compliance with applicable standards and regulations. This role ensures that healthcare providers are appropriately authorized and able to deliver services to clients in accordance with payer and regulatory requirements.

In Short

• Receive requests for provider credentialing
• Review provider documentation including certifications, education, experience, and licensure to meet payer requirements
• Submit and manage provider applications for enrollment with commercial insurance, Medicare, and Medicaid Managed Care plans, as applicable
• Track application progress and follow up with payers as necessary
• Maintain accurate and organized records of credentialing and enrollment activities
• Establish and maintain CAQH profiles for providers, ensuring timely re-attestation
• Ensure timely revalidations to prevent termination
• Facilitate enrollment of behavioral health providers with insurance companies, Medicaid, Medicare, and other third-party payers
• Complete enrollment processes for new providers and assist with re-enrollment as needed
• Maintain up-to-date knowledge of payer credentialing requirements and processes

Requirements

• High School Diploma or equivalent
• 1-3 years of experience in credentialing and contracting
• Ability to respond effectively to sensitive inquiries or complaints
• Strong interpersonal skills and ability to work with staff at all levels
• Ability to manage multiple tasks in a fast-paced environment
• Proficiency with Microsoft Office and billing applications
• Strong attention to detail and problem-solving skills
• Excellent written and verbal communication skills

Benefits

• 401(k)
• Free licensure supervision
• Pet insurance
• Employee Assistance Program (EAP)
• National discounts on shopping, travel, Verizon, and entertainment
• Mileage reimbursement
• Cellphone stipend