Onboarding and Credentialing Coordinator

About the role

Onboard and credentialing coordinator facilitates onboarding activities and administers the physician and mid-level facility privilege credentialing reapplication process.

Responsibilities

• Prepare and submit credentialing applications and supporting documentation for the purpose of enrolling individual providers and clients with healthcare facilities.
• Maintain the timelines on enrollment/credentialing schedules, communicate with providers and other departments to update as needed and maintain a strict level of confidentiality for all matters pertaining to provider credentials.
• Communicate with billing and the office managers on updates as needed and explain credentialing requirements.
• Credentials data includes but is not limited to the medical degree, Drug Enforcement Administration (DEA) number, state license number, Board certifications, CV, malpractice insurance and state insurance form.
• Works closely with providers and practice managers to obtain missing documentation pertaining to the onboarding and reappointment process.
• Obtains required provider signatures and follows up with the entities on documentation submitted.
• Maintains provider information and demographics for all providers.
• Responds to internal and external inquiries on routine credentialing and contracting matters.
• Makes sure to monitor and advise clients on expirations including but not limited to: Medical License, DEA, CDS, COI, TB, Flu.
• Create & maintain PECOS & NPPES.
• Create & maintain provider CAQH.
• Provider hospital dues.
• Carefully coordinate travel and calendar interviews for candidates. Create documents in DocuSign/Adobe for signature. Upload information into HR system and credentialing systems to facilitate new hire onboarding processes for APPs and MD/DOs.

Qualifications

• A high school diploma or GED is required.
• A bachelor’s degree is preferred.
• Credentialing experience is preferred.
• Proficiency in Microsoft Office, particularly Excel, Word, and Outlook.
• Proficiency or ability to quickly gain proficiency in CAQH, PECOS & NPPES.