Credentialing Coordinator

Esperanza Health Center•Philadelphia, PA

6d•$19 - $23

About The Position

The full-time Medical Department Credentialing Coordinator serves and advocates for clinicians and provides administrative support to the Medical and Quality Assurance Departments. The coordinator serves as Credentialing Manager for Esperanza, coordinates provider onboarding and offboarding, and manages the department budget. The role guides clinicians and other licensed professionals through credentialing, privileging, and re-credentialing; supports medical leadership and clinicians; coordinates clinician-related HR processes; and handles additional administrative and budget responsibilities. The position requires work in a regular office environment.

Requirements

At least 1–2 years of administrative experience preferred.
Experienced with MS Word and Excel.
Exceptional organizational and interpersonal skills, with attention to detail.
Strong oral and written communication skills and ability to maintain open communication with staff.
Ability to work collaboratively, manage multiple priorities, use effective time management, and exercise sound administrative judgment.
Independent thinking, problem-solving skills, and ability to analyze systems and develop creative solutions.
Ability to work well with people of varied ages, backgrounds, ethnicities, and life experiences.
Maturity, discretion, and confidentiality in communications.
Self-directed and motivated.
Demonstrates the stated Christian character, values, and commitment to Esperanza’s mission.

Nice To Haves

Bachelor’s degree preferred.
NAMSS certification preferred.
Bilingual English/Spanish preferred.

Responsibilities

Guide clinicians and other licensed professionals through credentialing, privileging, and re-credentialing processes.
Request, gather, maintain, and organize documentation for internal and external credentialing; create and update credentialing reports and spreadsheets.
Coach clinicians on licensing applications and submit supervision agreements, prescriptive-authority applications, and credentialing applications to state boards and Medicaid and Medicare as applicable.
Prepare and submit insurance privileging applications and request and maintain hospital privileges for applicable clinicians.
Maintain a filing system for timely retrieval of credentialing information and communicate with insurers, hospitals, malpractice companies, and medical billing agencies to support regulatory compliance.
Research and resolve credentialing issues; inform relevant medical, behavioral health, HR, executive, and billing leaders about issues, policy changes, and provider status changes.
Maintain professional relationships with network representatives.
Manage the internal re-privileging process every two years and create and maintain CAQH profiles for billable practitioners in coordination with Dental and BHC departments.
Support clinicians in completing continuing medical education requirements and reimbursements under Esperanza guidelines.
Support projects led by the Medical Director, Site Medical Directors, and Associate Medical Directors; communicate Medical Department policy and assist with drafting, editing, compiling, and formatting policies and procedures.
Provide spiritual support and encouragement to clinicians, check in with clinicians, advocate for their wellbeing and concerns, help resolve problems, and respond to communications in a timely manner.
Coordinate ACLS and BLS training for medical clinicians every two years.
Participate in clinician screening and interviewing and occasionally assist with recruiting at conferences, career fairs, and other events.
Communicate clinician start dates, FMLA, leaves, and FTE changes to HR in a timely manner.
Coordinate and plan staff retreats with HR as needed.
Coordinate onboarding for incoming clinicians with HR, IT, and appropriate departments.
Coordinate the exit process for departing clinicians, including patient farewell letters, goodbye dinners, communication with HR and other departments, and patient reassignment with the Medical Department Administrator.
Cover tasks during absences of the Medical Department Administrator.
Coordinate tracking and maintenance of Athena billable license counts with IT and Finance, and coordinate access to external EMR systems.
Manage the departmental budget, track expenses, ensure timely reimbursements, prepare monthly credit card usage reports, and project expenses for the annual budget proposal.