Credentialing Coordinator REMOTE

Integrated Dermatology; Boca Raton (FL); Remote; USD 50,000 - 70,000; Full time

Job summary

A leading company in healthcare is looking for a Credentialing Coordinator to manage credentialing for multiple physicians. This full-time position involves overseeing provider contracts, maintaining licensing files, and ensuring compliance with both Medicare and private insurance providers. The ideal candidate will have at least 3 years of relevant experience and strong organizational skills to thrive in a remote work environment.

Qualifications

• Minimum of 3 years active experience with credentialing medical practices.
• Familiarity with CAQH and updating CAQH profiles.
• Strong written and verbal communication skills.

Responsibilities

• Complete requests for Medicare, private insurance credentialing.
• Manage tracking systems for credentialing assignments.
• Respond to requests for credentialing and licensing data.

Skills

Communication

Customer Service

Organizational Skills

Problem Solving

Education

High School Diploma or equivalent

Tools

Microsoft Excel

Microsoft Outlook

Microsoft Word

Job description

Job Description

• Complete all requests for Medicare, private insurance and hospital credentialing for numerous physicians and mid-level practitioners in various states.
• Manage a thorough and detailed tracking system for completed and pending credentialing assignments.
• Maintain all files related to practitioner credentialing and licensing by documenting all tasks, phone calls, emails, and other forms of communication during the enrollment process in the database.
• Manage provider contracts, fee schedules and contract manager relationships, while analyzing contracts, determining rates and terms, and identifying effective/expiration dates.
• Respond to internal and external requests for credentialing and licensing data, including the preparation and presentation of periodic status reports.
• Develop and maintain relationships with individual contacts for the government agencies and commercial insurance providers.

Qualifications:
Qualifications

• Minimum of 3 years active experience with credentialing medical practices and/or physicians with Medicare and commercial insurance providers.
• Excellent computer skills, including with Microsoft Excel, Outlook and Word.
• Familiarity with CAQH and experience updating CAQH profiles.
• Some medical billing experience helpful, but not required.
• Strong written and verbal communication, interpersonal, and customer-service skills.
• Excellent organizational, time management, customer service and problem-solving skills.
• Demonstrated self-starter, detail-oriented and function with a sense of urgency always.
• Ability to work well independently as well as part of a team.

Additional Information

Job Type:

• Full-time
• \ #LI-REMOTE

Experience:

• Credentialing physician practices: 3 years (Preferred)
• Microsoft Excel: 3 years (Preferred)
• CAQH: 3 years (Preferred)

Education:

• High School Diploma or equivalent (Preferred)

All your information will be kept confidential according to EEO guidelines. #DNI

Integrated Dermatology and it's entities provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type 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.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.