Credentialing Coordinator

Access Group, Inc.•Little Rock, AR

2d•Onsite

About The Position

We are seeking a highly organized and detail-oriented Credentialing Coordinator to join our team. In this role, you will be responsible for obtaining and maintaining insurance credentialing for all healthcare providers, ensuring compliance with necessary requirements for participation with insurance payers. You will manage the application process, track renewal deadlines, facilitate smooth provider enrollment, and cultivate strong relationships with insurance companies. The ideal candidate will have excellent communication skills, exceptional attention to detail, and the ability to efficiently manage multiple tasks in a fast-paced environment.

Requirements

Bachelor’s Degree from a four-year accredited college or university preferred.
Two years of successful experience in a similar position preferred.
Ability to communicate effectively and professionally with a wide variety of people.
Strong organizational skills with attention to detail and accuracy.
Basic computer skills which include a working knowledge of databases, word processing, spreadsheets, and Internet software.
Ability to handle multiple tasks in a very busy environment.
Ability to read and interpret documents such as safety rules, policies, and other company documents.
Ability to write routine reports and correspondence.
Ability to communicate effectively with co-workers and other professionals outside of the organization.
Ability to add, subtract, multiply, divide, in all units of measure using whole numbers, common fractions, and decimals.
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
Ability to deal with problems involving several concrete variables in standard situations.
Valid Driver’s License, current auto liability insurance and registration, a clean driving record, and physical ability to drive to local locations throughout Arkansas.

Responsibilities

Processing initial credentialing and recredentialing applications for healthcare providers, ensuring compliance with regulatory and organizational standards.
Verifying and updating provider information, including licenses, certifications, education, work history, and malpractice coverage.
Ensuring compliance with all applicable laws, regulations, and accreditation standards.
Monitoring and tracking expiration dates for licenses, certifications, and professional liability insurance and notifying providers of renewal requirements.
Facilitating enrollment and participation with insurance networks and government programs (e.g., Medicare, Medicaid).
Maintaining payer contracts and assisting with resolving payer-related credentialing issues.
Maintaining accurate and up-to-date records in credentialing databases and systems.
Generating and distributing reports on credentialing statuses and deadlines as needed.
Serving as the primary point of contact for providers, payers, and other stakeholders regarding credentialing matters.
Collaborating with internal departments to support timely provider onboarding and compliance.
May perform other related and non-related duties, as assigned.