The Credentialing and Enrollment Coordinator supports the healthcare provider compliance process by assisting with credential verification, enrollment procedures, and record maintenance for medical staff members. This role requires experience in healthcare enrollment, exceptional communication skills, and a deep understanding of Medicaid and Medicare provider enrollment requirements and processes. The Credentialing and Enrollment Coordinator will be detail-oriented and work closely with the Credentialing and Enrollment Team, Clinical Operations department, and clinical staff to uphold the standards of professional practice and regulatory compliance, with a primary focus on supporting the credentialing and enrollment of registered dietitians and other healthcare providers. This position offers an opportunity to gain a higher level of experience in healthcare administration while supporting the credentialing and enrollment processes. The ideal candidate will be detail-oriented, eager to learn, and possess strong organizational skills to assist in maintaining the quality of healthcare services.
You Will:
- Assist in verifying educational background, licenses, and certifications of healthcare providers
- Help conduct background checks under supervision
- Support compliance efforts with regulatory and accrediting institutions
- Assist in monitoring staff credentials and licenses
- Help prepare basic reports on credentialing activities
- Support the processing of provider enrollment applications
- Assist with payer enrollment and revalidation tasks
- Help manage communication with providers, insurances, and related entities
- Support the interpretation of basic policies and procedures
- Input provider information into credentialing databases and systems
- Maintain data accuracy and confidentiality
- Assist in generating basic reports related to credentialing and enrollment
- Help manage communication with providers, insurances, and related entities
- Provide customer service support and help respond to inquiries
- Support provider education efforts on enrollment requirements
You Have:
- Associate’s degree in healthcare administration, business, or related field preferred
- At least two years of experience in healthcare administration or related field
- Basic knowledge of Medicaid and Medicare credentialing and enrollment requirements
- Demonstrated ability to manage complex projects and meet deadlines
- Excellent organizational and time management skills
- Exceptional verbal and written communication skills
- Proficiency in data entry and management software
- Ability to work independently and as part of a team
- High level of accuracy and attention to detail
- Maintain confidentiality of sensitive information
$60,000 – $60,000 a year
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