Coordinator, Credentialing
Core
Ensures active credentialing and enrollment status with contracted payors and maintains active licensure for groups and providers in a community oncology practice alliance.
Role type
Coordinator, Credentialing and Enrollment
Builds
Provider enrollment and re-credentialing activities for multiple groups and providers
Domain
Healthcare / Managed Care / Oncology
Required skills
Credentialing database management, Licensure tracking, Payer enrollment coordination, Hospital privileging documentation, Compliance monitoring, Deadline management
Preferred skills
Experience with credentialing databases (IntelliCred, E-Vips, Vistar, Cactus, Symed), Excel, Microsoft Word
Technologies
IntelliCred, E-Vips, Vistar, Cactus, Symed, Excel, Microsoft Word
Responsibilities
Document and track credentialing, re-credentialing, and hospital privileging activities; Maintain and monitor licenses and certifications; Coordinate provider enrollment activities; Ensure facility and provider licenses are accurate and in good standing; Complete forms for hospital privileges; Meet processing and reporting deadlines; Provide updates on progress to supervisors
Seniority
Individual Contributor, 3+ years experience