Credentialing Coordinator at Teleios Collaborative Network

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Full Time

Start Date

Immediate

Expiry Date

30 Apr, 26

Salary

0.0

Posted On

30 Jan, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Provider Initial Applications, Reappointment Applications, Credential Verification, Credentialing Compliance, Payer Enrollment, Data Submission, License Tracking, Malpractice Coverage Monitoring, Database Maintenance, Communication, Regulatory Compliance, Adaptability, Resilience

Industry

Non-profit Organizations

Description

We are thrilled to announce an exciting opportunity for a Credentialing Coordinator who will play a vital role in our team! This position encompasses a variety of engaging tasks, including but not limited to: Process provider initial and reappointment applications; monitor and follow-up as needed to ensure timely appointments and privileges. Verification of provider credentials and the facilitation of initial appointment and reappointment. Ensure accurate and timely submission of credentialing and recredentialing applications for both organizations and individual providers; monitor and follow-up as needed to ensure credentialing compliance. Coordinate and assist in the enrollment, re-enrollment, revalidation, and submission of data/documents for providers and organizations so that they may submit claims for payment. Track and monitor documents of current state licenses, Drug Enforcement Agency certifications, malpractice coverage, specialty certifications, health records and other required credentialing documents to ensure the timely renewals for all providers and regulatory compliance. Maintain multiple Provider Credentialing Databases. Communicate with payers, providers, leadership, and other entities to support activities with regards to real-time information, schedules, provider requests and meetings. Assist in compliance with the accrediting and regulatory agencies regarding credentialing while developing and maintaining a working knowledge of the statutes, regulations, and laws. Ability to excel in a dynamic setting, adaptable, and resilient. Completion of organizational required education, setting goals and other assignments. Qualifications Associate degree in business, healthcare management, or equivalent 1+ years Credentialing and Payer Enrollment experience Computer and MS Office workplace experience TCN is committed to the work of anti-racism and pursuit of diversity, equity, and inclusion, to foster a safe and transformational environment for staff and patients to work, receive care, and thrive in their everyday lives. We strongly encourage all interested individuals to apply, even if they are not confident, they meet 100% of the listed qualifications, and allow us to evaluate candidates’ knowledge, skills, and abilities using an intentional equity lens.

Responsibilities

The Credentialing Coordinator processes provider initial and reappointment applications, ensuring timely appointments and privileges through verification and follow-up. This role also involves coordinating enrollment and tracking essential provider documents like licenses and certifications for regulatory compliance.