Credentialing and Privileging Coordinator

3 hours ago


Baltimore, Maryland, United States Healthcare For the Homeless Inc Full time
Job Summary

We are seeking a highly organized and detail-oriented Credentialing, Privileging and Enrollment Coordinator to join our team at Healthcare For the Homeless Inc. This role is responsible for ensuring the credentialing, recredentialing, privileging, and enrollment processes for medical and behavioral staff are completed accurately and efficiently.

Key Responsibilities
  • Conduct comprehensive initial and ongoing credentialing and privileging of healthcare providers, maintaining accurate and up-to-date files and records.
  • Coordinate the provider enrollment process with Medicare, Medicaid, and commercial payers, ensuring timely and accurate submissions.
  • Proactively engage with providers and departments to solicit, track, validate, and store documentation and information.
  • Develop and maintain procedures and SOPs to ensure consistency and compliance in credentialing, privileging, and enrollment functions.
Requirements
  • Associate's degree required; Bachelor's degree preferred, preferably in HR, business, or a related field.
  • Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) preferred.
  • Three years of administrative experience in a healthcare setting, with two years in provider credentialing, privileging, and/or enrollment.
  • Intermediate experience with Microsoft Office and data entry, with a strong focus on process and procedures.
What We Offer

Healthcare For the Homeless Inc is an equal opportunity employer committed to racial equity and inclusion. We offer a flexible work environment with at least 50% remote work option and a competitive salary and benefits package.



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