Credentialing Coordinator - REMOTE

Four Seasons Hotels and Resorts; Boca Raton (FL); Remote; USD 50,000 - 70,000; Full time

Job summary

Join a leading company in the dermatology practice as a remote credentialing specialist. In this role, you will manage the credentialing process for healthcare professionals, ensuring compliance and efficient operations. Ideal candidates will have 3+ years of relevant experience and strong organizational and communication skills.

Qualifications

• Minimum 3 years of experience with credentialing practices.
• Proficient in Microsoft Office tools.
• Familiarity with CAQH profiles.

Responsibilities

• Complete credentialing requests for Medicare and private insurance.
• Manage a tracking system for credentialing assignments.
• Maintain comprehensive files related to practitioner credentialing.

Skills

Communication

Organizational Skills

Problem Solving

Interpersonal Skills

Tools

Microsoft Excel

Microsoft Outlook

Microsoft Word

Job description

Employer Industry: Dermatology Practice

Why consider this job opportunity:
- Fully remote position, allowing for flexible work arrangements.
- Opportunity for career advancement and potential transition to a full-time permanent role.
- Work in a dynamic environment with a supportive team focused on the success of partner dermatologists.
- Engage in meaningful work that supports the credentialing process for healthcare professionals.
- Gain valuable experience in credentialing with Medicare and commercial insurance providers.

What to Expect (Job Responsibilities):
- Complete credentialing requests for Medicare, private insurance, and hospital credentialing for various physicians and mid-level practitioners across multiple states.
- Manage a detailed tracking system for both completed and pending credentialing assignments.
- Maintain comprehensive files related to practitioner credentialing and licensing, documenting all communication throughout the enrollment process.
- Manage provider contracts, analyzing rates and terms while keeping track of effective and expiration dates.
- Respond to requests for credentialing data and prepare periodic status reports for internal and external stakeholders.

What is Required (Qualifications):
- Minimum of 3 years of active experience with credentialing medical practices and/or physicians with Medicare and commercial insurance providers.
- Proficient in Microsoft Excel, Outlook, and Word.
- Familiarity with CAQH and experience in updating CAQH profiles.
- Strong written and verbal communication, interpersonal, and customer service skills.
- Excellent organizational, time management, and problem-solving abilities.

How to Stand Out (Preferred Qualifications):
- Previous experience in medical billing.
- Demonstrated ability to work independently as well as part of a team.
- Detail-oriented with a strong sense of urgency.

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