Credentialing Coordinator

Alivi; Miami (FL); On-site; USD 42,000 - 62,000; Full time

Job summary

Alivi in Miami, FL is seeking a Credentialing Coordinator to handle administrative tasks for provider credentialing, collect documents for initial and re-credentialing, and track expiration dates to keep files current and compliant.

You will maintain credentialing databases, communicate with the Provider Relations Department and other teams, transcribe data, and ensure a smooth credentialing workflow. Bilingual English/Spanish required.

Qualifications

• High school diploma or equivalent.
• 3 years of related experience and/or training.
• Strong computer skills anddetail orientation.
• Excellent written, verbal, and interpersonal communication.
• Ability to interact positively across levels and with customers.
• Professional in-person and phone presence.
• Bilingual – English and Spanish.

Responsibilities

• Provider outreach via phone and email to gather required documents.
• Maintain credentialing databases (update, remove, add provider data).
• Follow guidelines to complete provider, driver, vehicle, and facility applications.
• Review documents for a clean file for primary source verification.
• Communicate changes or issues with Provider Relations and Transportation teams.
• Send welcome email packages to providers.

Skills

Attention to detail

Strong communication skills

Strong computer skills

Interpersonal skills

Bilingual English/Spanish

Microsoft Office

Education

High school diploma

Tools

Microsoft Office Suite

Job description

JOB SUMMARY

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 & 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 & 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