Credentialing and Enrollment Coordinator

2 weeks ago


Nashville, Tennessee, United States OneOncology Full time

We are seeking an experienced Credentialing and Enrollment Coordinator to join our team at OneOncology. As a key member of our operations team, you will be responsible for ensuring the smooth operation of our credentialing and privileging processes.

About the Role

In this role, you will work closely with our Credentialing Supervisor to ensure that all credentialing and privileging activities are completed in a timely and accurate manner. Your primary responsibilities will include:

  • Credentialing and re-credentialing of physicians and advanced practice providers;
  • Completion, submission, and tracking of credentialing applications with managed care organizations and hospitals;
  • Applying for and validating hospital privileges;
  • Obtaining malpractice insurance policy;
  • Notifying staff of completion of credentialing for scheduling and billing;
  • Maintaining and updating CAQH online credentialing application for all providers quarterly;
  • Database management and provider files;
  • Tracking and maintaining clinical licenses for nursing, pharmacy, and lab personnel;
  • Provider continuing education;
  • Tracking continuing education credits for all providers;
  • Notifying providers of any deficiencies;
  • Submitting documentation if providers are audited;
  • Termination of physician and/or allied health professional;
  • Contacting all MCO/hospitals/EMR to remove provider who has left practice, within 30 days of termination.

You should have a high school diploma and 2+ years of related experience, preferably in a healthcare setting. Industry experience leading credentialing activities in large provider practices is highly desirable.



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