Remote Credentialing & Enrollment Coordinator

Cardinal Health; Dover (DE); Remote; USD 25,000 - 41,000; Full time

Job summary

Cardinal Health seeks a Coordinator, Managed Care, Credentialing to ensure active credentialing/enrollment status with all contracted payors for all groups and providers. The role also ensures licensure is updated and active across regions and supports enrollment activities and hospital privileges where needed.

Responsibilities include documenting credentialing activity, maintaining licenses, participating in trainings, meeting deadlines, and collaborating with the Credentialing Supervisor to

Qualifications

• 3+ years credentialing or payer enrollment experience.
• Knowledge of payer environment and issues.
• Flexible schedule including overtime and weekends.
• Strong customer service and communication skills.
• Proficient with Excel and Word.

Responsibilities

• Document and track all credentialing/enrollment, re-credentialing, 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 and updated processes.
• Coordinate provider enrollment activities (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.

Skills

Credentialing experience

Payer enrollment

Customer service

Communication skills

Excel

Education

Healthcare degree or equivalent experience

Tools

IntelliCred

E-Vips

Vistar

Cactus

Symed

Job description

Cardinal Health seeks a Coordinator, Managed Care, Credentialing to ensure active credentialing/enrollment status with all contracted payors for all groups and providers. The role also ensures licensure is updated and active across regions and supports enrollment activities and hospital privileges where needed.

Responsibilities include documenting credentialing activity, maintaining licenses, participating in trainings, meeting deadlines, and collaborating with the Credentialing Supervisor to