Role Description We are seeking a Healthcare Credentialing Coordinator to join our team! As a Healthcare Credentialing Coordinator, you will be:

• Collecting and compiling current data on all credentialed providers
• Verifying existing information
• Tracking all expiring or changing credentials
• Processing applications for new credentialing or re-credentialing for providers
• Reaching out to providers whose credentials will be expiring
• Maintaining accurate records across the board for every provider

The ideal candidate has an understanding of state regulations and credentialing, excellent organizational skills, and strong attention to detail.

Responsibilities

• Maintain accurate records of all credentials and licensing information for all providers
• Organize and keep copies of all state licenses held by current providers
• Track expiration dates for all provider credentials and licensing
• Initiate and manage provider enrollment applications with Medicaid, Medicare, and all contracted commercial insurance plans
• Track and process re-credentialing and re-enrollment applications prior to expiration to ensure uninterrupted billing
• Collect, verify, and maintain all required credentialing documents including licenses, NPI numbers, CAQH profiles, malpractice insurance, and DEA certificates
• Monitor application status and follow up proactively to ensure timely approvals; escalate delays as appropriate
• Provide regular credentialing status reports to leadership, including pending applications, anticipated approvals, and outstanding items
• Support onboarding of new clinical hires by initiating credentialing process upon offer acceptance and communicating timelines to hiring managers

Qualifications

• Knowledge of credentialing and licensing within the state desired
• Strong attention to detail
• Strong organizational skills
• The ability to multitask, and work well independently
• Evidence of knowledge of Texas Medicaid Case Management

Benefits

• Competitive Compensation
• Great Work Environment
• Career Advancement Opportunities

Company Description

This is a remote position.