Credentialing Coordinator

Alreadyautismhealth; United States; Remote; USD 45,000 - 65,000; Full time

Job summary

A leading healthcare provider is seeking a full-time Credentialing Coordinator to ensure compliance with insurance and regulatory enrollment. The role includes credentialing clinicians, maintaining databases, and ensuring ongoing compliance. Ideal candidates will have strong organizational skills and experience in healthcare administration.

Benefits

Paid Company Holidays

Paid Time Off (PTO)

401K Retirement Plan

Medical, Dental and Vision

Health Savings Accounts

Short-Term and Long-Term Disability Benefits

Supplemental Life Insurance

Qualifications

• Bachelor's degree preferred.
• Minimum 1-year related experience preferred.
• Experience with Medicaid & Commercial payer requirements.

Responsibilities

• Credential newly hired clinicians with insurance payers.
• Maintain a current, accurate database of clinicians’ credentialing status.
• Monitor expiring credentials for compliance.

Skills

Strong organizational skills

Analytical skills

Attention to detail

Verbal communication

Written communication

Ability to prioritize tasks

Education

Bachelor’s degree in healthcare administration or related field

Tools

Microsoft Office

Job description

Already Autism Health is looking to hire a Credentialing Coordinator to ensure that the company and its individual practitioners meet and maintain compliance with insurance and regulatory enrollment, eligibility and certification requirements that will provide reimbursable services to all clients in care as well as meet applicable clinical staff supervisory standards.

What you will be expected to do:

• Credential newly hired clinicians with applicable insurance payers for timely billing.
• Collect, Submit, & Track all necessary documentation.
• Process re-credentialing for existing clinicians as required by individual payers.
• Maintain a current, accurate database of all clinicians’ credentialing / licensure status, needs, expirations, issues, etc. Share with internal staff as applicable.
• Communicate & Coordinate with all levels of internal staff & external stakeholders to ensure timely & consistent qualification is met & maintained.
• Monitor expiring credentials to ensure ongoing compliance with regulatory guidelines.
• Investigate and resolve any issues that arise during the approval process.
• Under the direction of the RCM Manager, assist with site level enrollments or changes to contract.

What you need to have:

• Bachelor’s degree in healthcare administration or related field preferred.
• Minimum of 1-year related experience preferred
• Strong organizational and analytical skills with attention to detail
• Excellent verbal and written communication skills
• Ability to prioritize tasks and work independently
• Experience with Microsoft office products
• Familiarity with Medicaid & Commercial payer requirements

What we offer you

• Paid Company Holidays
• Paid Time Off (PTO)
• 401K Retirement Plan
• Medical, Dental and Vision
• Health Savings Accounts
• Short-Term and Long-Term Disability Benefits
• Supplemental Life Insurance with Accidental Death and Dismemberment Insurance

Job Type: Full-time

We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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