Credentialing Coordinator - Part Time

Responsibilities

• Process enrollment applications for commercial health plan payers and manage the ongoing participation requirements of the plans for all practitioners enrolled.
• Populate, maintain, and update the credentialing communication tools.
• All aspects of external credentialing/re-credentialing providers and clinicians, including: obtaining provider information and entering into databases such as CAQH and CHAMPS, completing applications, and following up with insurance carriers.
• Maintain ongoing communication with insurance carriers to ensure external credentialing profiles and rosters are current and accurate.

Requirements

• 1 year of experience in credentialing strongly preferred.
• Proven experience building and maintaining positive working relationships with insurance and carriers.
• Proven ability to prioritize multiple tasks, projects, and deadlines.
• Strong working knowledge of Microsoft Office.
• Able to independently solve problems and research new projects.
• Excellent communication skills, both written and verbal.
• Proven Organizational skills

Benefits

• 401(k) with match
• Focus on Well Being: Employee Assistance Program
• Paid sick time
• Supportive and fulfilling culture
• Equity and inclusion-focused affinity and work groups
• Market-driven and equitable salary practices