Credentialing Coordinator

Job Title: End-to-End State License & Credentialing Coordinator
Location: Chamblee, GA

Job Overview:
The End-to-End State License & Credentialing Coordinator is responsible for overseeing the entire process of state license applications and renewals, ensuring that all healthcare providers are properly licensed, credentialed, and compliant with regulatory requirements. Unlike other companies, this role handles both the collection of necessary documentation and the application process for Docs and PAs. The ideal candidate will have direct experience in applying for state licenses and handling renewals, with a focus on DEA, CAQH, and other regulatory renewals. This role is not limited to insurance verification but extends to full license application management. The coordinator will be responsible for ensuring compliance with both state and federal guidelines, including knowledge of state license boards in Georgia (GA), and familiarity with Florida (FL) and South Carolina (SC) is a plus, with Texas (TX) being a future requirement.

Key Responsibilities:

• End-to-End Ownership: Take full ownership of the state license application and renewal process, from document collection to submission. Unlike roles that only verify information, you will be directly applying for licenses and managing renewals for healthcare providers.
• Docs and PAs Management: Have hands-on experience managing Docs and PAs, ensuring that applications for medical licenses, DEA renewals, CAQH updates, and other regulatory requirements are accurately submitted.
• State Licensing Knowledge: Manage license applications for state boards, particularly for Georgia (GA). Knowledge of Florida (FL) and South Carolina (SC) state boards is a plus, with Texas (TX) as a future expansion.
• Regulatory Renewals: Coordinate renewals for critical regulatory bodies such as the DEA, CAQH, and others, ensuring compliance with all deadlines and requirements.
• Tracking and Systems Management: Utilize systems like MedTrainer (MT) to track applications and renewals, though experience with Excel-based trackers is acceptable. Familiarity with MedTrainer is a plus, but not required. If you have experience building or managing a tracking system, we would like to see it or understand how you've structured it in past roles.
• Process Ownership: This position requires full ownership of the licensing and credentialing process. Candidates must have experience managing the entire lifecycle of state license applications and renewals, not just a portion of the process.
• Communication and Follow-up: Communicate with healthcare providers and external agencies to ensure all licensing and credentialing requirements are met and compliant. Follow up on discrepancies or missing information in applications.
• Research and Understanding: Conduct research to understand BOSM's processes and align with our operational objectives.

Qualifications:

• Experience: At least 2 years of experience in end-to-end state license application and renewal management, including Docs and PAs.
• Licensing Knowledge: Strong understanding of state licensing boards, particularly in GA. Knowledge of FL, SC, and TX is a plus.
• Renewals Expertise: Hands-on experience with regulatory renewals, including DEA, CAQH, and other key credentials.
• System Knowledge: Familiarity with MedTrainer or similar systems is preferred, but not required. Proficiency in Excel-based tracking systems is essential.
• Ownership: Must have experience owning the full process of license application and renewal, not just a part of it.
• Detail-Oriented: Excellent organizational and attention-to-detail skills to ensure the accuracy and timeliness of applications and renewals.
• Communication Skills: Strong verbal and written communication skills to interact with providers and regulatory agencies.
• Educational Background: A Bachelor's degree in healthcare administration, business, or a related field is preferred.
• Certifications: NAMSS certification as a Certified Professional Medical Services Manager (CPMSM) or Certified Provider Credential Specialist (CPCS) is a plus, but not required.

Work Environment:

• Location: This position is onsite in Chamblee, GA , 5 days a week from 7:30 AM to 4:00 PM, with one day per week requiring a 5:00 PM end time.
• Commute Consideration: Please consider your commute to the Chamblee location before applying, as daily attendance is required.