Credentialing Coordinator

As a Credentialing Coordinator, you will be an essential part of the corporate business support team. You will have the opportunity to collaborate with professionals from diverse backgrounds and contribute to the strategic goals of our company. Your role will involve providing essential support to various departments, enabling them to focus on their core functions and drive overall success.

This position will report to the Credentialing Supervisor and performs day-to-day activities related to maintaining credentialing for providers including, but not limited to physicians, nurse practitioners, physician assistants and other billable providers. The credentialing coordinator will work to ensure accurate and timely credentialing and application process with all billable locations and contracted payers.

Key Responsibilities

• Accurately complete and maintain the following Provider applications (both Initial and Re-credentialing/Renewals) as required (completion of applications also includes conducting any necessary follow-up to ensure timely completion of process):
• Payer Enrollment/Credentialing
• Facility or other entities
• DEA/ Licensure
• Revalidations
• CAQH
• Completion of applications also includes conducting any necessary follow-up to ensure timely completion of process
• Update and maintain accurate provider demographic information in credentialing database timely and accurately
• Request and maintain updated credentialing documents from providers on an ongoing/as needed basis and prior to any expirations to ensure there is no lapse in coverage or provider status
• Run regularly scheduled reports to address any outstanding applications, issues, and expiring information.
• Provide status updates on all credentialing requests to Supervisor or other key stakeholders
• Participate in department projects as requested
• Attend team meetings, phone conferences, and training as needed; facilitate team meetings and phone conferences as needed
• Other duties and responsibilities as assigned
  
  

Qualifications

• Minimum of 2 years physician Credentialing experience
• High School Diploma or GED
• Certified Provider Credentialing Specialist (CPCS) or other credentialing certification
• Physician billing experience
  
  

Explore The Advantages Of Joining Our Team

• Enjoy competitive salary and a wide range of benefits, including medical, dental, vision, low-cost virtual care, dependent and domestic partner coverage, 401K, and more, designed to support your well-being and financial security.
• Immerse yourself in a community united by a deep commitment to enhance mental health and revolutionize patient care.
• Embrace a journey of continuous learning, guided by seasoned professionals, fostering your career growth in a nurturing environment.
• Play a pivotal role in reshaping behavioral health, with your efforts directly improving patient lives.
• Thrive in an environment that celebrates collaborative success, driven by effective communication and unity.
• Receive comprehensive onboarding and ongoing educational resources, tailored to cultivate your talents and assure your triumph in your role.
  
  

Transformations Care Network is an equal opportunity employer, committed to fostering an inclusive and diverse workplace.