Provider Credentialing & Compliance Coordinator

NJ PEDIATRIC NEUROSCIENCE INSTITUTE • Morristown, NJ

1d • $50,000 - $80,000

About The Position

The Provider Credentialing & Compliance Coordinator is responsible for managing and maintaining the credentialing, enrollment, licensing, and continuing education requirements for all NJPNI providers. This position serves as the primary administrative resource for provider credentialing with hospitals, health insurance companies, governmental programs, and other participating entities. The Coordinator will manage the credentialing lifecycle for both new and existing providers, including initial credentialing, recredentialing, enrollment, maintenance, expirables, and ongoing compliance requirements. In addition to credentialing responsibilities, this position will maintain provider CAQH profiles, track all required professional licenses and certifications, monitor CME/continuing education requirements, and coordinate NJPNI's provider educational programming, including the organization's Monday and Thursday Lunch & Learn programs.

Requirements

• Experience in physician credentialing/onboarding.
• Highly organized.
• Detail-oriented.
• Proactive.
• Deadline-driven.
• Comfortable independently managing multiple provider files and credentialing requirements simultaneously.

Responsibilities

• Manage and maintain credentialing, enrollment, licensing, and continuing education requirements for all NJPNI providers.
• Serve as the primary administrative resource for provider credentialing with hospitals, health insurance companies, governmental programs, and other participating entities.
• Manage the credentialing lifecycle for both new and existing providers, including initial credentialing, recredentialing, enrollment, maintenance, expirables, and ongoing compliance requirements.
• Maintain provider CAQH profiles.
• Track all required professional licenses and certifications.
• Monitor CME/continuing education requirements.
• Coordinate NJPNI's provider educational programming, including the organization's Monday and Thursday Lunch & Learn programs.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed