JOB SUMMARY The Credentialing Coordinator performs administrative tasks related to provider credentialing. Responsible for the collection of documents for initial credentialing and re-credentialing. The Credentialing Coordinator tracks and reports the expiration of credentials to maintain up-to-date files. The Credentialing Coordinator is responsible for ensuring the credentialing process moves smoothly and efficiently and that all documents are stored correctly in the credentialing database.
DUTIES & RESPONSIBILITIES • Provider outreach via phone and email to gather required documents. • Maintenance of credentialing databases (Update, remove, and add provider data as applicable). • Follow internal credentialing guidelines to complete provider company and owner applications. • Follow internal credentialing guidelines to complete driver applications. • Follow internal credentialing guidelines to complete vehicle applications. • Follow internal credentialing guidelines to complete facility applications. • Review of credentialing documents to ensure a “clean file” is presented for primary source verification to be conducted efficiently and effectively. • Communicate with the appropriate parties (i.e. Provider Relations Department, Transportation department) on changes, denials, and application issues. • Send welcome email packages to providers via email. • Use Microsoft Office Suite (Outlook, Excel, PowerPoint, Word). • Transcribe data received from providers into credentialing database. • Monitor upcoming credentials expiration dates through credentialing database and notify providers. • Custodial of the provider contracting and credentialing files.
REQUIREMENTS & QUALIFICATIONS • High school diploma or equivalent. • 3 years of related experience and/or training. • Strong computer skills. • High level of attention to detail. • Strong written, verbal, and interpersonal communications skills including ability to listen attentively and to communicate information clearly and effectively. • Demonstrated interpersonal, collaborative, and relationship-building skills; ability to interact positively with teammates at various levels across the company and customers. • Positive attitude and always maintain solution-based and customer-focused mindset. • Able to work in face pace environment. • Professional in-person and phone presence and etiquette. • Bilingual – English and Spanish