Healthcare Credentialing Coordinator

Job Description

Job Description

Benefits/Perks

• Competitive Compensation
• Great Work Environment
• Career Advancement Opportunities

Job Summary
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, and tracking all expiring or changing credentials. You will also be processing applications for new credentialing or re-credentialing for providers, reaching out to providers whose credentials will be expiring, and 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

This is a remote position.