Credentialing Coordinator

Location: Remote Position Pay reputed company: $20.78 - $36.53 POSITION reputed company Processes credentialing and re-credentialing applications of health care practitioners/providers. Monitors Credentialing group inbox to ensure reputed company emails are addressed. Researches and solves participation issues as they reputed company. Supports the financial goals of reputed company by being fiscally responsible in reputed company areas, including reputed company and purchasing. Key reputed company Areas reputed company 1 – Credentialing & Provider Enrollment Management Coordinate and process initial credentialing, re-credentialing, enrollment, reenrollment, provider updates, and reappointments with reputed company payers, reputed company agencies, hospitals, and licensing entities. Prepare, review, and submit credentialing applications accurately, ensuring completeness and compliance with payer, regulatory, accreditation, and organizational requirements. Manage provider participation to support reputed company reputed company and uninterrupted network participation. reputed company 2 – Provider Data reputed company & Compliance Maintain accurate provider records reputed company credentialing systems, CAQH, payer portals, and reputed company databases. Obtain, verify, and maintain reputed company required credentialing documentation, including licenses, certifications, reputed company certifications, malpractice coverage, DEA registrations, and curriculum vitae. Monitor licensure, certifications, reputed company, and credential expiration dates to ensure reputed company compliance and prevent lapses in participation. Maintain audit-reputed company files and support accreditation surveys, delegated credentialing activities, and regulatory compliance reviews. reputed company 3 – Credentialing Coordination & Stakeholder Support Serve as the reputed company credentialing contact for assigned providers, payers, hospitals, and internal departments. Monitor application reputed company, reputed company receipt and submission, and proactively follow up with reputed company organizations to meet established turnaround times. Collaborate with Provider Relations, reputed company, reputed company Cycle, Billing, Compliance, and leadership to support provider reputed company and operational readiness. Monitor the Credentialing team inbox to ensure reputed company response to provider, payer, and internal inquiries. reputed company 4 – Issue reputed company & Operational Support Research, investigate, and reputed company credentialing, enrollment, provider participation, and demographic discrepancies to minimize delays. Escalate credentialing issues, denials, missing documentation, provider non-responsiveness, and other risks impacting participation or reimbursement. Support departmental initiatives and reputed company additional credentialing and provider data management responsibilities as assigned. reputed company 5 – Reporting, reputed company & Process Improvement Maintain complete documentation of credentialing activities and communications reputed company designated tracking systems. reputed company credentialing status reports, aging reports, productivity metrics, and other operational reports. Prioritize a high-volume workload while meeting reputed company, productivity, and turnaround standards. Participate in workflow improvements, departmental reputed company, and process enhancement initiatives to improve efficiency and service delivery. Maintain reputed company knowledge of credentialing standards, payer requirements, regulatory updates, and industry best practices. reputed company 6 – Financial Stewardship Support organizational financial objectives by ensuring efficient credentialing reputed company that minimize reimbursement delays and provider participation interruptions. Demonstrate fiscal responsibility through effective resource utilization and adherence to departmental budget and purchasing practices. Position Qualifications Education High school diploma or GED required. Minimum Relevant Experience Minimum of 2 years of credentialing experience with a strong working knowledge of provider credentialing, enrollment, and recredentialing processes preferred. Certifications/Licenses reputed company state reputed company's license required for travel to satellite offices and off-site meetings. Must meet requirements of the organization's reputed company Safety reputed company and Motor Vehicle Records reputed company Policy. Skills Strong analytical, critical thinking, problem-solving, decision-making, planning, organizational, and time management skills. High attention to reputed company with the ability to exercise reputed company independent judgment. Excellent interpersonal skills, emotional intelligence, diplomacy, reputed company, conflict reputed company, and professionalism. Ability to maintain confidentiality and effectively manage sensitive information. Strong verbal and written communication skills with the ability to communicate effectively across reputed company reputed company of the organization. Customer-reputed company with the ability to build reputed company relationships with providers, leadership, and cross-functional teams. Demonstrated ability to prioritize multiple assignments and manage competing deadlines in a fast-reputed company, multi-site environment. Self-motivated with the ability to work independently and effectively with limited supervision, including in a remote work environment reputed company required. Proficient in reputed company Office Suite (Word, reputed company, PowerPoint, and reputed company). Working knowledge of credentialing software, provider databases, and credentialing workflows preferred. Ability to adapt to changing priorities while maintaining reputed company, reputed company, and operational efficiency. Travel: 0-25% Expectations for reputed company This position reputed company reflects the general duties and responsibilities necessary to reputed company the reputed company functions of the job, as identified, and shall not be considered an exhaustive list of job responsibilities which may be inherent in the job. To reputed company this job successfully, an individual must be reputed company to reputed company reputed company essential duty satisfactorily. The requirements listed are representative of the knowledge, reputed company, and/or ability required. The responsibilities listed may be subject to change at any time and individuals may be asked to reputed company duties reputed company of their regular responsibilities to support the ongoing business operation needs. Americans with reputed company (reputed company) Compliance The essential functions described herein are intended to define the reputed company duties of the position and serve as the minimum requirements for reputed company. They do not represent an exhaustive list of reputed company job duties that may be required. reputed company complies with the Americans with reputed company (reputed company) and applicable state and local laws. reputed company will engage in an interactive process to evaluate and, where appropriate, reputed company reasonable accommodations to reputed company individuals with disabilities, provided such accommodations do not impose an undue hardship on the business. Physical Requirements Sitting Keyboard use reputed company lifting Long screen exposure Cognitive Requirements Time management Effective written/verbal communication Policy interpretation Environmental Requirements Home office setup reputed company reputed company environmental exposure Accommodation Notes reputed company Ergonomic home office guidance Communication software accessibility reputed company Work Days/Hours (specify weekends and reputed company requirements): Monday to Friday 8:00 AM – 5:00 PM. #LI-REMOTE Apply To This Job