Credentialing Coordinator - Work From Home

Location: Remote role associated with Nashville, Tennessee, United States

Base pay: $41,700.00–$92,800.00 annually

Company

hirify.global provides managed care products, programs, and services.

What you will do

• Coordinate initial and ongoing credentialing and recredentialing for professional and facility providers.
• Review provider documentation for completeness, accuracy, and currency.
• Prepare credentialing information for medical director and credentialing committee review.
• Monitor providers after network participation approval.
• Manage multiple cases while meeting strict processing timelines.

Requirements

• High school diploma or GED.
• At least 3 years of business experience; a combination of college education and experience may be considered.
• At least 1 year of credentialing or quality audit experience.
• Clear written and verbal communication, interpersonal, coaching, and mentoring skills.
• Experience with Windows, Word, Excel, Access, and business databases, along with demonstrated analytical and organizational skills.
• Sponsorship is not provided for this role.

Nice to have

• Experience overseeing credentialing or credentialing committees.
• Two years of college coursework in business or a medical field.
• Project management experience.
• Knowledge of Microsoft Suite tools, Adobe, and PowerPoint.

Culture & Benefits

• Remote telecommute work arrangement.
• Curated development plans and professional development opportunities.
• Health and wellness benefits, 401(k), pension plan, and paid time off.
• Paid parental leave, disability insurance, supplemental life insurance, and paid holidays.
• Employee assistance program, tuition reimbursement, and incentive opportunities.