Credentialing Coordinator [AQ-12834]

About the Opportunity

Are you a meticulous and detail-oriented professional with a passion for ensuring healthcare quality? We are seeking a dynamic individual to join a team and play a critical role in maintaining the integrity and compliance of the provider network. In this position, you will be instrumental in credentialing and licensing processes, directly contributing to the ability to deliver top-tier care. Your expertise will ensure that clinicians meet rigorous standards, upholding the commitment to patient safety and regulatory adherence. This is an exciting opportunity to make a tangible impact, ensuring operations run smoothly and patients receive care from qualified professionals.

Responsibilities

• Verify state licenses, exclusion lists, federal drug enforcement administration registrations, board certifications, and government healthcare program enrollment for clinicians on an ongoing basis to ensure active network participation.
• Enroll clinicians in government healthcare programs, adhering to state and federal guidelines.
• Manage the application process for state licensure for clinicians.
• Maintain strong cross-functional relationships with recruiting, production, and education teams.
• Monitor files for completeness and accuracy, reviewing all documentation for compliance with quality standards, accreditation requirements, and relevant policies.
• Prepare and provide information to internal and external stakeholders as appropriate.
• Enter, update, and maintain data from provider applications into the credentialing database, focusing on accuracy and adapting data to conform to defined data field uses and internal policies.
• Prepare, issue, electronically track, and follow up on verifications for efficient, high-volume processing of individual applications in accordance with applicable credentialing standards and strict timelines.
• Communicate clearly with providers, internal/external clients, and staff to provide timely responses on day-to-day credentialing issues.
• Maintain professional growth and development through continuous learning to stay abreast of healthcare industry regulations and legislation.
• Assist with special projects as needed.

Requirements

• Be authorized to work in the United States.
• Not require sponsorship of any kind for the duration of the assignment.
• Be able to work on a W-2 basis. C2C or 1099 is not permitted for this position.

Qualifications

• 1-3 years of relevant professional experience.
• Proven ability to verify professional licenses and educational credentials.
• Experience accurately completing and submitting applications.
• Exceptional attention to detail and strong administrative skills.
• Understanding of compliance with industry accreditation, regulatory requirements, and government healthcare programs.
• Ability to work flexible shifts between 7:00 AM – 5:00 PM CST, operating within Central Standard Time hours.
• Access to Personal Health Information (PHI) will be required.

Skills

• Certification as a Certified Provider Credentialing Specialist (CPCS) (preferred).
• Experience with industry-standard credentialing databases (preferred).
• Proficiency with widely used office productivity suites (preferred).
• Extensive experience with professional licensure processes (preferred).

Benefits

Eligible talent get access to amazing benefits including:

• Subsidized health, vision, and dental plans.
• Paid sick leave.
• Retirement plans with a match.
• Free online training through Aquent Gymnasium.