Credentialing Coordinator
2 weeks ago
Responsibilities & Duties
* Manage the credentialing process for healthcare providers, including physicians, nurses, and other licensed professionals.
* Verify the accuracy and completeness of provider applications, ensuring that all required documents are submitted.
* Conduct thorough background checks, license verifications, and references to ensure compliance with regulatory standards.
* Coordinate with internal departments and external agencies to obtain and update relevant provider information.
* Maintain accurate and up-to-date electronic and hard copy files of all credentialing documentation.
* Communicate with providers to address any discrepancies or missing information.
* Monitor expiring licenses and credentials, proactively initiating the renewal process to avoid any disruption in services.
* Stay up-to-date with industry regulations and requirements, ensuring compliance at all times.
* Assist in preparing for and participating in audits and regulatory reviews.
* Provide support and guidance to internal staff regarding credentialing and privileging processes.
Qualifications & Skills
* Bachelor's degree in healthcare administration, business, or a related field preferred.
* Minimum of 1-2 years of experience in credentialing or provider enrollment.
* Proficient in using credentialing software and databases for data entry and maintenance.
* Excellent attention to detail and ability to work with complex documents.
* Strong analytical and problem-solving skills.
* Exceptional organizational and time management abilities.
* Effective communication and interpersonal skills.
* Ability to work independently and collaboratively within a team.
#IND2
Job Type: Full-time
Pay: $20.00 - $22.00 per hour
Benefits:
* 401(k)
* Dental insurance
* Health insurance
* Life insurance
* Paid time off
* Vision insurance
Ability to Relocate:
* Woodland Park, NJ 07424: Relocate before starting work (Required)
Work Location: Hybrid remote in Woodland Park, NJ 07424
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