Healthcare Coding And Consulting Svcs

Compensation

Full Description

We are seeking a full-time Credentialing Coordinator/Specialist to manage the credentialing and re-credentialing process for 132 providers across 12 facilities. This role is critical in ensuring compliance with regulatory standards, payer requirements, and organizational policies. The Credentialing Coordinator/Specialist will maintain organized workflows, verify provider credentials, and collaborate with key stakeholders to uphold high-quality care standards across all facilities. Key Responsibilities: * Manage credentialing and re-credentialing for 132 providers across 12 facilities, ensuring timely submissions and updates. * Verify and process provider credentials, including licensure, certifications, education, and work history. * Maintain accurate and up-to-date records in credentialing databases and software. * Coordinate with providers, payers, and facility administrators to resolve discrepancies or delays. * Ensure compliance with all applicable federal, state, and organizational regulations. * Prepare and submit applications for payer enrollment, hospital privileges, and re-credentialing as needed. * Collaborate with cross-functional teams to support operational and regulatory goals. * Monitor expiring credentials and notify providers of renewal deadlines. * Generate reports to track credentialing progress and meet organizational objectives. Qualifications: * High school diploma or equivalent required; Associate's or Bachelor's degree in healthcare administration or related field preferred. * Minimum of 2 years of credentialing experience in a healthcare setting. * Knowledge of NCQA, JCAHO, and CMS standards. * Familiarity with payer enrollment processes. * Proficient in Microsoft Office Suite and credentialing software (e.g., CAQH, MD-Staff). * Exceptional organizational skills and attention to detail. * Strong communication and problem-solving abilities. * Ability to work independently and meet tight deadlines. Preferred Qualifications: * Certification as a Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM). * Experience managing credentialing for multiple providers and facilities. Why Join HCCS? * Competitive salary and benefits package. * Opportunity to work with a collaborative and supportive team. * Professional growth and development opportunities. Job Type: Full-time Benefits: * 401(k) * Dental insurance * Health insurance * Life insurance * Paid time off * Vision insurance Schedule: * Monday to Friday Experience: * Microsoft Office: 2 years (Required) * Credentialing: 2 years (Required) Location: * United States (Required) Work Location: Remote