JOB SUMMARY
The Credentialing Coordinator performs administrative tasks related to provider credentialing. Responsible
for the collection of documents for initial credentialing and re-credentialing. The Credentialing Coordinator
tracks and reports the expiration of credentials to maintain up-to-date files. The Credentialing Coordinator
is responsible for ensuring the credentialing process moves smoothly and efficiently and that all documents
are stored correctly in the credentialing database.
DUTIES & RESPONSIBILITIES
- Provider outreach via phone and email to gather required documents.
- Maintenance of credentialing databases (Update, remove, and add provider data as applicable).
- Follow internal credentialing guidelines to complete provider company and owner applications.
- Follow internal credentialing guidelines to complete driver applications.
- Follow internal credentialing guidelines to complete vehicle applications.
- Follow internal credentialing guidelines to complete facility applications.
- Review of credentialing documents to ensure a "clean file" is presented for primary source
verification to be conducted efficiently and effectively.
- Communicate with the appropriate parties (i.e. Provider Relations Department, Transportation
department) on changes, denials, and application issues.
- Send welcome email packages to providers via email.
- Use Microsoft Office Suite (Outlook, Excel, PowerPoint, Word).
- Transcribe data received from providers into credentialing database.
- Monitor upcoming credentials expiration dates through credentialing database and notify
providers.
- Custodial of the provider contracting and credentialing files.
REQUIREMENTS & QUALIFICATIONS
- High school diploma or equivalent.
- 3 years of related experience and/or training.
- Strong computer skills.
- High level of attention to detail.
- Strong written, verbal, and interpersonal communications skills including ability to listen
attentively and to communicate information clearly and effectively.
- Demonstrated interpersonal, collaborative, and relationship-building skills; ability to interact
positively with teammates at various levels across the company and customers.
- Positive attitude and always maintain solution-based and customer-focused mindset.
- Able to work in face pace environment.
- Professional in-person and phone presence and etiquette.
- Bilingual - English and Spanish