Credentialing Coordinator [AQ-12070]

Join a leading organization dedicated to transforming healthcare delivery and improving patient outcomes across the nation. This innovative company is at the forefront of creating accessible and high-quality health services, impacting countless lives through its commitment to excellence and compliance.

To be considered for this role, you must :

• Be authorized to work in the United States
• Not require sponsorship of any kind for the duration of the assignment
• Be able to work on a W-2 basis. C2C or 1099 is not permitted for this position
• Be able to work on-site on Tuesdays plus one extra day per month

About the Opportunity

Are you a meticulous and detail-oriented professional with a passion for ensuring healthcare quality? We are seeking a dynamic individual to join our team and play a critical role in maintaining the integrity and compliance of our provider network. In this position, you will be instrumental in credentialing and licensing processes, directly contributing to our ability to deliver top-tier care. Your expertise will ensure that our clinicians meet rigorous standards, upholding our commitment to patient safety and regulatory adherence. This is an exciting opportunity to make a tangible impact, ensuring our operations run smoothly and our patients receive care from qualified professionals.

Key Responsibilities

• Verify state licenses, exclusion lists, federal drug enforcement administration registrations, board certifications, and government healthcare program enrollment for clinicians on an ongoing basis to ensure active network participation.
• Enroll clinicians in government healthcare programs, adhering to state and federal guidelines.
• Manage the application process for state licensure for clinicians.
• Maintain strong cross-departmental relationships with recruiting, production, and education teams.
• Monitor files for completeness and accuracy, reviewing all documentation for compliance with quality standards, accreditation requirements, and relevant policies.
• Prepare and provide information to internal and external stakeholders as appropriate.
• Enter, update, and maintain data from provider applications into the credentialing database, focusing on accuracy and adapting data to conform to defined data field uses and internal policies.
• Prepare, issue, electronically track, and follow up on verifications for efficient, high-volume processing of individual applications in accordance with applicable credentialing standards and strict timelines.
• Communicate clearly with providers, internal/external clients, and staff to provide timely responses on day-to-day credentialing issues.
• Maintain professional growth and development through continuous learning to stay abreast of healthcare industry regulations and legislation.
• Assist with special projects as needed.

Required Skills & Experience

• 1-3 years of relevant professional experience.
• Proven ability to verify professional licenses and educational credentials.
• Experience accurately completing and submitting applications.
• Exceptional attention to detail and strong administrative skills.
• Understanding of compliance with NCQA, URAC, Medicare, Medicaid, and other pertinent regulatory requirements.
• Ability to work flexible shifts between 7:00 AM – 5:00 PM CST, operating within Central Standard Time hours.
• Access to Personal Health Information (PHI) will be required.

Preferred Skills

• NAMSS Certification as a Certified Provider Credentialing Specialist (CPCS).
• Experience with CAQH.
• Proficiency with Google Suites.
• Extensive experience with professional licensure processes.

About Aquent Talent:

Aquent Talent connects the best talent in marketing, creative, and design with the world’s biggest brands. Our eligible talent get access to amazing benefits like subsidized health, vision, and dental plans, paid sick leave, and retirement plans with a match. We also offer free online training through Aquent Gymnasium.

Aquent is an equal-opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics. We’re about creating an inclusive environment-one where different backgrounds, experiences, and perspectives are valued, and everyone can contribute, grow their careers, and thrive.

#LI-GS1

#LI-Onsite