Job Summary:

A large nationally known pharmacy company is currently seeking a Credentialing Coordinator. The Credentialing Coordinator is responsible for initial credentialing and re-credentialing nurse practitioners, physician assistants and physicians in a compliant and timely manner; monitor expired credentials and compliance monitoring in accordance with Joint Commission accreditation, NCQA and URAC credentialing standards as required.

Pay rate: $16.38/hr. Weekly Pay!

Hours: Monday – Friday 8:00AM – 4:30PM, FULLY REMOTE POSITION

Job Description:

• Responsible for the timely and accurate processing of all providers including NP’s/PA’s/MD’s initial and Re-credentialing applications according to the Minute Clinic Provider Credentialing Program.
• Monitor Expired licensure reporting , data base tasks and maintain system updates and weekly reporting to leadership.
• Manage Epic access for any providers that have out of compliance licensure and/or board certification.
• Conduct sanctions and compliance monitoring and alert Credentialing Manager and Revenue Director of any undisclosed negative findings.
• Process malpractice insurance verification requests according to internal policies.
• Maintain the provider and physician SharePoint sites and Communicate provider status’s with leadership and other internal teams to meet timelines.
• Submit system access requests upon credentialing approvals/clinic eligibility.
• Support the payer enrollment team as needed to resolve any payer claim issues.
• Monitor Provider and Clinic change/Termination reports and update data base accordingly.
• Process Name changes according to Minute Clinic policies and procedures.
• Daily maintenance of provider credentialing grids with notification to appropriate teams.
• Review and distribute all incoming mail as needed.
• Support Payer Audits in accordance with Minute Clinic, Joint Commission and NCQA requirements.
• Maintain provider files with the most current information/documentation.
• Notify system analyst and leadership of any system and state agencies interruptions/updates/password changes.
• Make recommendations for process improvement and system efficiencies.
• Attend and engage in all team meetings.

Required Qualifications & Experience: 

• Demonstrate understanding of initial credentialing and re-credentialing practices for medical professionals including primary source verification methods, compliance monitoring and expireables management.
• Proficient in quantitative analysis.
• Understanding of Joint Commission Accreditation, NCQA and URAC credentialing standards.
• Ability to function independently and utilize critical thinking skills to accomplish goals and objectives.
• Effective communication skills; verbal and written.• Competent user of Microsoft Office, Outlook, Word, and Excel.
• A minimum of 3 years experience in the healthcare industry with experience in credentialing.
• Verifiable High School Diploma, Associates or Bachelor in business is preferred.

Preferred Qualifications:

• NAMSS Certified Professional Credentialing Specialist (CPCS) certification

Our Mission:

Choice One Staffing Group offers our employees assistance in finding the best positions for their skills, talents, and experience. It’s simple. At Choice One Staffing Group, People are our PURPOSE and YOUR success is OUR success!

Try us! You’ll find we focus on providing a positive candidate experience from your first contact through the completion of your first assignment and every assignment.

Employee Benefits:

We offer medical, holiday pay, vacation pay, referral bonuses and pre-employment preparation.

Specialized Staffing:

We specialize in Administrative, Light Industrial, Technical, Medical and Hospitality

EEO Policy:

Choice One Staffing Group, Inc. is an equal opportunity employer that prohibits employment discrimination based on race, color, religion, sex, national origin and ancestry, individuals who are 40 years of age and older or qualified individuals with disabilities.