Credentialing Coordinator (Provider Enrollment) - REMOTE

• Complete all requests for Medicare, private insurance and hospital credentialing for numerous physicians and mid-level practitioners in various states.
• Manage a thorough and detailed tracking system for completed and pending credentialing assignments.
• Maintain all files related to practitioner credentialing and licensing by documenting all tasks, phone calls, emails, and other forms of communication during the enrollment process in the database.
• Manage provider contracts, fee schedules and contract manager relationships, while analyzing contracts, determining rates and terms, and identifying effective/expiration dates.
• Respond to internal and external requests for credentialing and licensing data, including the preparation and presentation of periodic status reports.
• Develop and maintain relationships with individual contacts for the government agencies and commercial insurance providers.

• Minimum of 3 years active experience with credentialing medical practices and/or physicians with Medicare and commercial insurance providers.
• Excellent computer skills, including with Microsoft Excel, Outlook and Word.
• Familiarity with CAQH and experience updating CAQH profiles.
• Some medical billing experience helpful, but not required.
• Strong written and verbal communication, interpersonal, and customer-service skills.
• Excellent organizational, time management, customer service and problem-solving skills.
• Demonstrated self-starter, detail-oriented and function with a sense of urgency always.
• Ability to work well independently as well as part of a team.

Job Type:

• Full-time,

Experience:

• Credentialing physician practices: 3 years (Preferred)
• Microsoft Excel: 3 years (Preferred)
• CAQH: 3 years (Preferred)

Education:

• High School Diploma or equivalent (Preferred)

All your information will be kept confidential according to EEO guidelines. #DNI

Integrated Dermatology and it's entities provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Integrated Dermatology is a leading national dermatology practice that acquires and partners with dermatology practices across the United States. The culture at ID is a reflection of its people. Our environment is filled with hard-working, dynamic individuals who come together to ensure the success of our partner dermatologists.

We have an immediate need for a qualified Credentialing Coordinator. Candidates must have a minimum of 3 years’ active experience with credentialing medical practices and/or enrolling physicians with Medicare and commercial insurance providers. Candidates must be organized and able to multi-task high volume of files in various stages at the same time. This position will also include organizing and maintaining physician files; maintain credentialing reports and conduct written and oral follow up to determine application status and communicate with all necessary internal departments.

This is a fully REMOTE position.

Originally posted on Himalayas