Managed Care Credentialing Coordinator

Job Summary

To support managed care operations, the full-time Managed Care Credentialing Coordinator will manage the enrollment of employed and contracted providers, ensuring compliance with credentialing processes and collaborating with various departments in a 100% remote work environment.

Key responsibilities

• Manage the enrollment and credentialing processes for providers, applying expertise in hiring and contractual arrangements
• Maintain proactive communication with internal and external stakeholders regarding credentialing and enrollment matters
• Track and process demographic changes and recredentialing applications, ensuring timely submission and compliance with regulations

Required qualifications

• High School Graduate with four years of experience in an administrative support role, including database management
• Advanced proficiency in Microsoft Office (Excel, Access, PowerPoint, and Word) and credentialing software
• Knowledge of accrediting and regulatory agencies related to medical staff, including Joint Commission and CMS
• Proven track record of effective interactions with healthcare professionals
• Ability to manage multiple priorities effectively and independently