[Hiring] Healthcare Credentialing Coordinator @MACK COUNSELING
Role Description We are seeking a Healthcare Credentialing Coordinator to join our team! As a Healthcare Credentialing Coordinator, you will be:
- Collecting and compiling current data on all credentialed providers
- Verifying existing information
- Tracking all expiring or changing credentials
- Processing applications for new credentialing or re-credentialing for providers
- Reaching out to providers whose credentials will be expiring
- Maintaining accurate records across the board for every provider
The ideal candidate has an understanding of state regulations and credentialing, excellent organizational skills, and strong attention to detail.
Responsibilities
- Maintain accurate records of all credentials and licensing information for all providers
- Organize and keep copies of all state licenses held by current providers
- Track expiration dates for all provider credentials and licensing
- Initiate and manage provider enrollment applications with Medicaid, Medicare, and all contracted commercial insurance plans
- Track and process re-credentialing and re-enrollment applications prior to expiration to ensure uninterrupted billing
- Collect, verify, and maintain all required credentialing documents including licenses, NPI numbers, CAQH profiles, malpractice insurance, and DEA certificates
- Monitor application status and follow up proactively to ensure timely approvals; escalate delays as appropriate
- Provide regular credentialing status reports to leadership, including pending applications, anticipated approvals, and outstanding items
- Support onboarding of new clinical hires by initiating credentialing process upon offer acceptance and communicating timelines to hiring managers
Qualifications
- Knowledge of credentialing and licensing within the state desired
- Strong attention to detail
- Strong organizational skills
- The ability to multitask, and work well independently
- Evidence of knowledge of Texas Medicaid Case Management
Benefits
- Competitive Compensation
- Great Work Environment
- Career Advancement Opportunities
Company Description
This is a remote position.