Onsite Credentialing Coordinator

Credentialing Coordinator

The Credentialing Coordinator performs administrative tasks related to provider credentialing. Responsible for the collection of documents for initial credentialing and re-credentialing. The Credentialing Coordinator tracks and reports the expiration of credentials to maintain up-to-date files. The Credentialing Coordinator is responsible for ensuring the credentialing process moves smoothly and efficiently and that all documents are stored correctly in the credentialing database.

Duties and Responsibilities:

• Provider outreach via phone and email to gather required documents.
• Maintenance of credentialing databases (Update, remove, and add provider data as applicable).
• Follow internal credentialing guidelines to complete provider company and owner applications.
• Follow internal credentialing guidelines to complete driver applications.
• Follow internal credentialing guidelines to complete vehicle applications.
• Follow internal credentialing guidelines to complete facility applications.
• Review of credentialing documents to ensure a "clean file" is presented for primary source verification to be conducted efficiently and effectively.
• Communicate with the appropriate parties (i.e. Provider Relations Department, Transportation department) on changes, denials, and application issues.
• Send welcome email packages to providers via email.
• Use Microsoft Office Suite (Outlook, Excel, PowerPoint, Word).
• Transcribe data received from providers into credentialing database.
• Monitor upcoming credentials expiration dates through credentialing database and notify providers.
• Custodial of the provider contracting and credentialing files.

Requirements and Qualifications:

• High school diploma or equivalent.
• 3 years of related experience and/or training.
• Strong computer skills.
• High level of attention to detail.
• Strong written, verbal, and interpersonal communications skills including ability to listen attentively and to communicate information clearly and effectively.
• Demonstrated interpersonal, collaborative, and relationship-building skills; ability to interact positively with teammates at various levels across the company and customers.
• Positive attitude and always maintain solution-based and customer-focused mindset.
• Able to work in face pace environment.
• Professional in-person and phone presence and etiquette.
• Bilingual English and Spanish