Credentialing Coordinator

3 weeks ago


Baltimore, United States Quadrant Full time

Job ID: 24-03027

Credentialing Coordinator

Baltimore, Maryland

MUST:

Experienced Credentialing Coordinator

1 plus years of experience as a Credentialing Coordinator

Must have experience with provider credentialing

Must have provider enrollment experience

Must have strong excel experience

Maryland Medicaid ePREP experience highly preferred

DUTIES:

Credentialing Coordinator will be responsible for, but not limited to the following:

Performs timely Medicare and Medicaid credentialing for new providers

Performs timely Medicare and Medicaid revalidations for existing providers

Submits requests to have new providers and provider numbers

Routine follow up with payers regarding provider credentialing status

Maintains an up to date spreadsheet regarding all outstanding credentialing items

Constant communication with Practice Operations Management Team regarding credentialing status and roadblocks

Ensures appropriate follow up with departments and/or payers regarding outstanding items

Constant communication with department contacts to obtain required necessary credentialing documents.

Quadrant is an affirmative action/equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, status as a protected veteran, or status as an individual with a disability.



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