Credentialing Coordinator (Healthcare)
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
TL;DR
Credentialing Coordinator (Healthcare): Providing foundational support for credentialing, re-credentialing, and continuous monitoring processes within a medical group with an accent on administrative accuracy and provider data maintenance. Focus on managing Salesforce ticket triage, tracking expirable documents, and ensuring strict adherence to NCQA, CMS, and state regulatory requirements.
Location: Remote (Must be based in the USA)
Salary: $22–$25 per hour
Company
is a technology-driven national physician enablement company that collaborates with medical groups and health systems to optimize physician practices and improve patient outcomes.
What you will do
- Manage and resolve Tier 1 Salesforce cases by addressing basic provider inquiries and document requests.
- Monitor the renewal of expirables such as licenses, certifications, and COIs to maintain provider standing.
- Support the Primary Source Verification (PSV) process for initial applicants and re-credentialing cycles.
- Maintain accurate provider profiles within CAQH and internal credentialing databases.
- Track departmental statistics and prepare basic reports under management supervision.
- Ensure all processes align with NCQA, CMS, and state regulatory requirements.
Requirements
- At least 1 year of experience with credentialing PSV (Primary Source Verification).
- Must be based in the USA.
- Proficiency in basic problem solving and the ability to analyze administrative data.
- Strong attention to detail and high level of organizational skill.
- Ability to communicate professionally with providers and internal staff.
- Absolute commitment to maintaining the privacy of sensitive and confidential information.
Culture & Benefits
- Comprehensive insurance: medical, dental, vision, life, and pet insurance.
- 401K plan and paid time off (PTO).
- Eligibility for an annual bonus targeted at 10%.
- Expense reimbursement for home office internet costs.
- Inclusive work environment committed to diversity and equity.
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