Onboarding and Credentialing Coordinator
About The Position
The Onboarding and Credentialing Coordinator facilitates onboarding activities and administers the physician and mid-level facility privilege credentialing reapplications process. This role is responsible for preparing and submitting credentialing applications and supporting documentation for the purpose of enrolling individual providers and clients with healthcare facilities. The coordinator ensures the setup of clients for participation status in multiple systems, prepares and submits applications, follows up on the status of applications, and tracks the progress on all pending applications. Responsibilities include maintaining timelines on enrollment/credentialing schedules, communicating with providers and other departments to update as needed, and maintaining a strict level of confidentiality for all matters pertaining to provider credentials. The coordinator also communicates with billing and office managers on updates, explains credentialing requirements, and coordinates credentialing data needed for onboarding, contracting, and other related purposes. Credentialing data includes, but is not limited to, medical degree, Drug Enforcement Administration (DEA) number, state license number, Board certifications, CV, malpractice insurance, and state insurance form. The role works closely with providers and practice managers to obtain missing documentation pertaining to the onboarding and reappointment process, obtains required provider signatures, and follows up with entities on submitted documentation. The coordinator maintains provider information and demographics for all providers, responds to internal and external inquiries on routine credentialing and contracting matters, monitors and advises clients on expirations (including Medical License, DEA, CDS, COI, TB, Flu), creates and maintains PECOS & NPPES, runs OIG reports on onboarding providers, creates and maintains provider CAQH, handles provider hospital dues, coordinates travel and calendar interviews for candidates, creates documents in DocuSign/Adobe for signature, and uploads information into HR and credentialing systems to facilitate new hire onboarding processes for APPs and MD/DOs.
Requirements
- High School Diploma or GED required.
- Proficiency in Microsoft Office, particularly Excel, Word, and Outlook.
- Proficiency or ability to quickly gain proficiency in CAQH, PECOS & NPPES.
Nice To Haves
- Bachelor’s degree preferred.
- Credentialing experience preferred.
Responsibilities
- Facilitates onboarding activities and administers the physician and mid-level facility privilege credentialing reapplications process.
- Prepares and submits credentialing applications and supporting documentation for enrolling individual providers and clients with healthcare facilities.
- Ensures the setup of clients for participation status in multiple systems.
- Follows up on the status of applications and tracks the progress on all pending applications.
- Maintains timelines on enrollment/credentialing schedules.
- Communicates with providers and other departments to update as needed.
- Maintains a strict level of confidentiality for all matters pertaining to provider credentials.
- Communicates with billing and office managers on updates and explains credentialing requirements.
- Coordinates credentialing data needed for onboarding, contracting, and other related purposes.
- Works closely with providers and practice managers to obtain missing documentation pertaining to the onboarding and reappointment process.
- Obtains required provider signatures and follows up with entities on documentation submitted.
- Maintains provider information and demographics for all providers.
- Responds to internal and external inquiries on routine credentialing and contracting matters.
- Monitors and advises clients on expirations (Medical License, DEA, CDS, COI, TB, Flu).
- Creates & maintains PECOS & NPPES.
- Runs OIG report on onboarding providers.
- Creates & maintains provider CAQH.
- Handles provider hospital dues.
- Coordinates travel and calendar interviews for candidates.
- Creates documents in DocuSign/Adobe for signature.
- Uploads information into HR system and credentialing systems to facilitate new hire onboarding processes for APPs and MD/DOs.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
