Credentialing Coordinator

Credentialing Coordinator

Clinical Support Center - Greenbelt, MD 20770

Overview

Salary Range $22.00 - $25.00 Hourly Position Type Full Time Job Shift Day Education Level 2 Year Degree Travel Percentage None Category Health Care

Description

Build a Healthcare Career That Fits Your Life At Center for Vein Restoration (CVR), we know people thrive in an environment where they feel supported, valued, and empowered. That belief drives everything we do.

We're proud to be the nation's leader in vein care, combining advanced outpatient vein treatment with compassion, trust, and a commitment to improving lives. And we know it's our people who make it possible.

Here, you'll find more than just a healthcare job near you; you'll find a career with meaning and balance. With no nights, no weekends, and no on-call expectations, CVR offers a structure that supports both professional growth and personal well-being. With over 110 locations and a values-driven culture, CVR is a place to grow, feel included, and make a lasting positive impact.

Duties and Responsibilities:

• Confirm provider enrollment packet for its completeness and accuracy
• Communicate and work with provider offices to obtain necessary/missing documentation
• Enter new providers into CAQH with accuracy
• Perform ongoing CAQH data management
• Enter new providers into database with accuracy
• Complete and submit applications for major payers quickly and accurately
• Monitor the application process to ensure successful completion
• Create online credentialing file for each provider
• Ensure file is appropriately labeled and documents are properly stored at all times
• Work directly with third-party providers, provider office staff, Medicare, Medicaid, and commercial insurance to complete assigned tasks
• Maintain good working relationship with assigned practices and payer representatives
• Keeping detailed and organized files and records
• Maintain physicians Medical Licenses, DEA, CDS and liability insurance
• Ensure physician Medical Licenses are obtained for different states
• Obtain and maintain Group/Physicians Contracts with all Health insurances
• Update new locations with all exiting insurance companies for both Group contract and Individual physicians
• Update and maintain Credentialing file/info on the shared drive
• Resurge insurance guidelines state by state
• Perform re-credentialing duties for assigned providers in timely manner
• All other duties as assigned

Qualifications

Minimum Requirements:

• Associates Degree (preferred)
• Minimum of 4 years of experience in the credentialing field
• Must have reliable transportation

Qualifications:

• Excellent customer service skills
• Must be an effective communicator both verbally and in writing
• Dedicated to follow-through and results
• Very detail-oriented
• Flexibility as it relates to schedule, responsibilities and priorities
• The ability to interact with, support, and influence positively the behavior and activities of referring physicians, superiors and staff/co-employees
• Strong organizational skills
• The ability to work independently and as a member of a team