Top 16 Credentialing coordinator Jobs in Remote ;

Credentialing Coordinator- Temporary
Provider Partners Health Plan —Remote
- Temporary
- Salesforce
- Mid-level
- High school diploma or GED
Quick Apply
Billing, Credentialing & Back-Office Operations Coordinator
Nabi —Remote
- Full-time
- Remote
- Google Workspace
- HIPAA
- Mid-level
- Dental insurance
- Vision insurance
Provider Enrollment Coordinator
TeamHealth —Remote
- Overtime
- High school diploma or GED
- Organizational skills
- Contracts
3d
Provider Enrollment Coordinator II
Geisinger —Remote
- Full-time
- Remote
- Computer literacy
- Mid-level
- Office
- Health insurance
- Dental insurance
4d
Credentialing Coordinator
American Oncology Network, Inc. —Fort Myers, FL
- $20.78 - $36.53 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Communication skills
Quick Apply
3d
(Remote) Provider Contracting & Credentialing Coordinator
The Recovery Village —Weston, FL
- From $21 an hour
- Remote
- Addiction Medicine
- Computer literacy
- Mid-level
- Wellness program
- Health savings account
Quick Apply
Licensing Coordinator I
Teladoc Health —Remote
- $24 - $26 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Office
- Continuing education credits
- Paid time off
3d
Credentialing Coordinator
Center for Vein Restoration —Greenbelt, MD
- $22 - $25 an hour
- Full-time
- Remote
- Customer service
- Writing skills
- Mid-level
Quick Apply
License Coordinator
TeamHealth —Remote
- Full-time
- Microsoft Excel
- Mid-level
- Organizational skills
3d
Enrollment Coordinator
Monument Health Rapid City Hospital, Inc. —Rapid City, SD
- $22.63 - $28.29 an hour
- Part-time
- Remote
- Mid-level
- High school diploma or GED
- Mentoring
- Health savings account
- Health insurance
Quick Apply
Provider Data Coordinator
Maryland Care Management Inc —Linthicum, MD
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Writing skills
- Disability insurance
- Health insurance
Coordinator - Medical Staff Services
Atlas Healthcare Partners —Remote
- $23.27 - $29.06 an hour
- Full-time
- Remote
- Writing skills
- Research
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
10d
Provider Enrollment Maintenance Coordinator
TeamHealth —Knoxville, TN
- Overtime
- Remote
- Research
- Mid-level
- High school diploma or GED
- Paid holidays
- Health insurance
3d
HR Operations Coordinator
Triage Holding, Inc. —Alpharetta, GA
- Remote
- Mid-level
- Office
- Microsoft Office
- Health insurance
- Dental insurance
Quick Apply

More jobs to discover

Find similar jobs that you might be interested in.

Billing, Credentialing & Back-Office Operations Coordinator
Nabi —Remote
Assist with scheduling, data entry, and clinician administrative support as needed. Our clinical model is supported by a strong operational backbone that…

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Credentialing Coordinator
Orthopedic One —Westerville, OH
Performs other administrative tasks at the request of management as related to credentialing and board certification documentation.

I want to receive the latest job alert for credentialing coordinator in remote ;

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Credentialing Coordinator- Temporary

Provider Partners Health Plan -
Remote

Quick Apply

Job Details

Temporary

Qualifications

Managed care
Managed care organization experience
Spreadsheets
High school diploma or GED
Quality assurance audits
Health insurance knowledge
Healthcare quality audits
Quality audits
Excel data analysis

Full Job Description

Purpose:
This role will credential practitioners for network participation with PPHP and accurately maintain all provider data within SF to supply the organization with provider data, while ensuring compliance with regulatory, accreditation, legal and company requirements and standards.

Essential Functions:
35% Analyzes credentialing applications to perform the primary source verification of the appropriate credentials in order for a practitioner to participate in the PPHP networks. Once verified, accepted and approved, determines the appropriate networks and notifies provider.

20% Responds to external and internal inquiries regarding provider participation eligibility and criteria, participation status, credentialing, and provider file updates. Direct focus on the provider experience, providing timely resolution dependable follow-up and proactive measures to ensure successful credentialing is achieved. Professional etiquette, communications and sound decision making is required.

20% Maintains the provider file, the Salesforce (SF) inventory workflow system and electronic provider files with updated provider information during processes, such as credentialing, recredentialing, demographic updates, terminations and all other provider file maintenance activities.

10% Responsible for identifying, analyzing and resolving immediate and existing provider file issues. Processes provider file inputs in accordance with applicable state laws and departmental guidelines. Verification of provider data and system release entered into the provider file database, ensuring a successful integration with the other corporate systems.

10% Audits all delegated entities on an annual basis to ensure compliance with CMS and NQA standards.

5% Prepares written responses to obtain incomplete or missing information and or communicates effectively telephonically.

Qualifications
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education Level: High School Diploma

Experience: 3 years health insurance/managed care credentialing operations experience. 2 years of Delegated Credentialing Auditing.

Preferred Qualifications: Bachelor’s Degree in Business, Healthcare Administration or related field

Knowledge, Skills and Abilities (KSAs)
Proficient: Must be proficient in the use of Excel spreadsheets, and an understanding of Pivot tables. Proficient: Excellent verbal and written communication and interpersonal skills. Ability to develop and

Quick Apply

Refine Your Search

credentialing coordinator jobs in remote ;

Credentialing Coordinator- Temporary

Billing, Credentialing & Back-Office Operations Coordinator

Provider Enrollment Coordinator

Provider Enrollment Coordinator II

Credentialing Coordinator

(Remote) Provider Contracting & Credentialing Coordinator

Licensing Coordinator I

Credentialing Coordinator

License Coordinator

Enrollment Coordinator

Provider Data Coordinator

Coordinator - Medical Staff Services

Provider Enrollment Maintenance Coordinator

HR Operations Coordinator

More jobs to discover

Explore jobs in cities nearby

I want to receive the latest job alert for credentialing coordinator in remote ;

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected