Provider Enrollment/Credentialing Coordinator

Responsibilities

• Collect and maintain providers' credentials and supporting documentation for the purpose of enrolling individual providers with payers.
• Complete Council for Affordable Quality Healthcare, Inc. (CAQH) credentialing process on new providers.
• Update, monitor, and maintain CAQH for existing providers.
• Complete applications, re-credentialing applications, demographic updates and documents to each payer for processing.
• Research payers for information on processes to enroll providers.
• Maintain provider files for revalidation of Medicaid and Medicare enrollments.
• Ensure the timeliness of provider enrollments.

Qualifications

• Associates degree required, prefer a Bachelor’s degree.
• Previous hospital business office experience preferred.
• Excellent verbal and written communication skills.
• Exceptional organizational skills.
• Strong attention to detail.
• Ability to make independent decisions.
• Previous experience with files or data gathering.
• Ability to prioritize and organize multiple tasks.
• Meet established production and quality goals.
• Communicate and work well in a team environment.
• Ability to learn new software programs quickly.