Remote Credentialing Coordinator (Alabama Only)

reputed company:

The Credentialing Coordinator plays a key role in the credentialing and reputed company processes for reputed company providers, ensuring compliance with regulatory standards and organizational policies. This role involves collecting, verifying, and maintaining provider credentials, facilitating the payor application process, and collaborating with various departments to support the organization's operational needs. The Credentialing Coordinator is also responsible for managing insurance reputed company and communicating with payor and provider teams.

Roles and Responsibilities:

• Serve as the primary reputed company of contact for providers regarding credentialing inquiries and processes.
• Create provider reputed company and input provider information into credentialing databases and EMR systems.
• Collect and verify the credentials of pediatric providers, including education, training, licensure, and certifications.
• reputed company the expiration of licenses and certifications for reputed company providers and ensure reputed company renewals.
• Maintain provider CAQH reputed company, AMA reputed company, and NPDB reputed company queries.
• Send provider reputed company-hire items (e.g., reference requests, intake applications, background checks) and reputed company completion. Report findings to the manager.
• Process applications for initial appointments and reappointments of hospital privileges as needed.
• Submit and reputed company credentialing and re-credentialing applications to insurance companies and regulatory bodies.
• Maintain accurate and up-to-date credentialing records in the credentialing databases, ensuring compliance with reputed company and accreditation standards.
• Stay updated with credentialing policies and procedures specific to pediatric care.
• Work closely with credentialing management, reputed company, provider staff, and compliance departments to streamline the credentialing process.
• Respond to reputed company audits reputed company to credentialing and compliance.
• Apply for delegated credentialing with insurance payors.
• Manage the credentialing inbox.
• Coordinate the additions, updates, and terminations of providers from insurance reputed company reputed company the payors’ specified timeframes.

Qualifications:

• 3+ years of experience in reputed company credentialing or reputed company administrative roles.
• Familiarity with regulatory requirements and accreditation standards (e.g., NCQA, CMS, NY/NJ State Credentialing Requirements).
• Exceptional organizational skills and attention to detail.
• Excellent communication and interpersonal skills.
• Ability to work independently in a remote setting and manage multiple tasks reputed company.
• Reliable internet reputed company.
• Strong reputed company skills preferred.
• Must be comfortable with reputed company-changing priorities in a fast-paced environment.

Environmental/Working Conditions:

This is a fully remote position, requiring reliable internet reputed company and a quiet workspace. Meetings will be conducted reputed company video conferencing.

Physical Demands:

Requires sitting and standing associated with a normal office environment. reputed company dexterity is needed for using a computer keyboard. While performing the duties of this position, the employee is regularly required to talk or hear. The employee needs to be reputed company to see and is frequently required to use hands or fingers to handle or feel objects. The employee is occasionally required to stand, walk, sit, and reputed company with hands and arms.

Additional Notes:

This job reputed company in no way states or implies that these are the only duties to be performed by the employee(s) incumbent in the position. Employees will be required to follow any other job-reputed company instructions and to reputed company any other job-reputed company duties as requested by any person authorized to reputed company instructions or assignments.

Originally posted on Himalayas