Credentialing Coordinator

Remote: 
Full Remote
Contract: 
Work from: 

Offer summary

Qualifications:

At least 3 years of experience in clinical staff credentialing or managed care organization provider credentialing., Knowledge of TJC and NCQA standards is essential., CPCS or CPMSM Certification by NAMSS is preferred., Strong organizational skills and proficiency in MS Office and credentialing software..

Key responsibilities:

  • Coordinate and maintain the credentialing and re-credentialing process for healthcare providers.
  • Ensure compliance with regulatory standards and internal policies.
  • Monitor and track the status of applications using credentialing databases.
  • Respond to inquiries from clinicians and internal customers regarding credentialing issues.

Array Behavioral Care logo
Array Behavioral Care SME http://www.arraybc.com
501 - 1000 Employees
See all jobs

Job description

Array Behavioral Care is the nation's leading virtual psychiatry and therapy practice. As the leading mental health provider, Array is on a mission to transform access to quality, timely behavioral health care through innovative telepsychiatry solutions and services that span the entire care continuum, from the hospital to the home. Array partners with an extensive network of hospitals, health systems, community healthcare organizations, and payors to improve access and deliver the highest quality of care to patients.

About The Role

The Credentialing Coordinator (Specialist) is responsible for coordinating the credentialing process for healthcare providers, ensuring that all necessary documentation is collected, verified, and submitted in a timely manner. This role involves maintaining accurate records, ensuring compliance with regulatory standards, and providing excellent customer service to clinicians and internal partners. The ideal candidate will have a strong background in hospital and managed care credentialing standards.

What You’ll Do

  •  The Credentialing Coordinator (Specialist) is responsible for assisting in, coordinating, monitoring, and maintaining the credentialing and re-credentialing process
  • Ensures interpretation and compliance with the appropriate accrediting and regulatory agencies, while developing and maintaining a working knowledge of internal policies and procedures
  • Processes credentialing files according to requirements in a timely manner for successful delegation and credentialing by proxy
  • Utilize the credentialing database and internal systems to monitor and track status of applications and maintenance of initial and recredentialing files
  • Proactively identifies issues that require additional investigation and evaluation, validates discrepancies and ensures appropriate follow-up
  • Responds to inquiries from clinicians and internal and external customers on day-to-day credentialing issues as they arise
  • Performs other duties as needed


What We’re Looking For

  • At least 3 years of experience directly related to clinical staff credentialing or managed care organization provider credentialing
  • Knowledge of TJC and NCQA standards
  • CPCS or CPMSM Certification by NAMSS preferred
  • Excellent attention to detail and accuracy
  • Outstanding interpersonal relationship building
  • Ability to remain flexible, multitask and meet strict deadlines
  • Strong organizational and time management skills
  • Proficiency in using MS Office, credentialing software, and data entry systems


POSITION LOGISTICS

  • 100% remote position
  • Required to have a private office space in home or elsewhere for confidentiality


Compensation And Benefits

  • The pay range for this role is $25 - $32 an hour. This information reflects the anticipated salary range for this position using current market data. The final offer will be determined based on an individual's skills, years of experience, education, capacity, licenses, and other job-related factors permitted by law.
  • Medical, dental, and vision insurance, employer paid life & long-term disability insurance, additional voluntary benefits include short-term disability, voluntary employee, spousal and child life insurance, accident, critical illness, hospital, or confinement insurance and flexible spending accounts (FSA) and health savings account (HSA) contributions
  • 15 days of accrued PTO annually, plus 8 paid holidays and 3 floating holidays
  • 401k

Required profile

Experience

Spoken language(s):
English
Check out the description to know which languages are mandatory.

Other Skills

  • Social Skills
  • Detail Oriented
  • Microsoft Office
  • Multitasking
  • Organizational Skills
  • Time Management
  • Physical Flexibility

Conference Coordinator Related jobs