Healthcare Credentialing Coordinator

MACK COUNSELING

5d•Remote

About The Position

We are seeking a Healthcare Credentialing Coordinator to join our team! As a Healthcare Credentialing Coordinator, you will be collecting and compiling current data on all credentialed providers, verifying existing information, and tracking all expiring or changing credentials. You will also be processing applications for new credentialing or re-credentialing for providers, reaching out to providers whose credentials will be expiring, and maintaining accurate records across the board for every provider. The ideal candidate has an understanding of state regulations and credentialing, excellent organizational skills, and strong attention to detail.

Requirements

Knowledge of credentialing and licensing within the state desired
Strong attention to detail
Strong organizational skills
The ability to multitask, and work well independently
Evidence of knowledge of Texas Medicaid Case Management

Responsibilities

Maintain accurate records of all credentials and licensing information for all providers
Organize and keep copies of all state licenses held by current providers
Track expiration dates for all provider credentials and licensing
Initiate and manage provider enrollment applications with Medicaid, Medicare, and all contracted commercial insurance plans
Track and process re-credentialing and re-enrollment applications prior to expiration to ensure uninterrupted billing
Collect, verify, and maintain all required credentialing documents including licenses, NPI numbers, CAQH profiles, malpractice insurance, and DEA certificates
Monitor application status and follow up proactively to ensure timely approvals; escalate delays as appropriate
Provide regular credentialing status reports to leadership, including pending applications, anticipated approvals, and outstanding items
Support onboarding of new clinical hires by initiating credentialing process upon offer acceptance and communicating timelines to hiring managers