Operations Coordinator

Job Summary

Delivering essential business, quality, and compliance support, the remote Operations Coordinator will manage credentialing processes, validate provider credentials, and ensure adherence to national standards in a flexible contractor position (25-30 hours/week, EST team).

Key responsibilities

• Process initial and re-credentialing applications while adhering to regulatory requirements
• Manage payer provider enrollment and maintain current provider data in credentialing systems
• Support quality programs by reviewing audit requirements and facilitating clinical file reviews

Required qualifications

• Bachelor's degree or equivalent experience
• Five years of progressive experience in credentialing and provider enrollment in a healthcare environment
• In-depth knowledge of credentialing, privileging, and enrollment standards
• Proficiency with credentialing databases and reporting tools
• High ethical standards and proven ability to handle confidential information