Remote Credentialing Coordinator – Managed Care

Cardinal Health; Austin (TX); Remote; USD 25,000 - 41,000; Full time

Benefits offered by this job

Medical, dental and vision coverage

Paid time off

Health savings account (HSA)

401k savings plan

Access to wages before pay day with my

Flexible spending accounts (FSAs)

Disability coverage

Work-Life resources

Paid parental leave

Healthy lifestyle programs

Job summary

Navista, part of Cardinal Health, is seeking a Coordinator for Managed Care Credentialing to ensure active credentialing/enrollment and up-to-date licensure for all groups and providers across regions.

You will track credentialing activity, maintain licenses, and coordinate enrollments while collaborating with the Credentialing Supervisor and team to meet deadlines and support ongoing projects.

Qualifications

• At least three (3) years of credentialing or payer enrollment experience in a managed care or provider setting.
• Knowledge of the payer environment and payer issues.
• Flexibility to work overtime and weekends as needed.
• Excellent customer service and communication skills.
• Ability to work independently and as part of a team.
• Working experience with Excel and Microsoft Word.
• College degree or commensurate healthcare experience preferred.
• Credentialing database experience (IntelliCred, E-Vips, Vistar, Cactus, Symed, etc.) preferred.

Responsibilities

• Document and track all credentialing/enrollment, re-credentialing/re-enrollment, and hospital privileging activities within the credentialing platform.
• Maintain and monitor all licenses and certifications in the credentialing platform to ensure compliance within all regions.
• Participate in training sessions and special projects such as learning new system workflows, completing required training, and adopting updated processes within established timeframes.
• Coordinate provider enrollment activities (including initial enrollments or re-credentialing) for all groups and providers.
• Ensure all facility and provider licenses and certifications are accurate and in good standing at all times.
• Complete all forms and supporting documents required to obtain hospital privileges for physicians, as necessary.
• Ensure that all processing and reporting deadlines are consistently achieved.
• Meet regularly with Credentialing Supervisor and other team members to provide updates on progress and status of credentialing and enrollment matters.
• Performs any other functions as required by management.

Skills

Credentialing experience

Payer enrollment knowledge

Flexible schedule

Customer service

Teamwork

Credentialing databases knowledge

Education

Healthcare-related degree or commensurate experience

Tools

Excel

Microsoft Word

Credentialing databases (IntelliCred, E-Vips, Vistar, Cactus, Symed)

Job description

Navista, part of Cardinal Health, is seeking a Coordinator for Managed Care Credentialing to ensure active credentialing/enrollment and up-to-date licensure for all groups and providers across regions.

You will track credentialing activity, maintain licenses, and coordinate enrollments while collaborating with the Credentialing Supervisor and team to meet deadlines and support ongoing projects.