[Hiring] Temporary Credentialing Coordinator @Clarvida - Corporate
Role Description As a Credentialing Coordinator, you will be responsible for verifying and maintaining records of practitioners’ credentials and ensuring compliance with applicable standards and regulations. This role ensures that healthcare providers are appropriately authorized and able to deliver services to clients in accordance with payer and regulatory requirements.
- Receive requests for provider credentialing
- Review provider documentation including certifications, education, experience, and licensure to meet payer requirements
- Submit and manage provider applications for enrollment with commercial insurance, Medicare, and Medicaid Managed Care plans, as applicable
- Track application progress and follow up with payers as necessary
- Maintain accurate and organized records of credentialing and enrollment activities
- Establish and maintain CAQH profiles for providers, ensuring timely re-attestation
- Ensure timely revalidations to prevent termination
- Facilitate enrollment of behavioral health providers with insurance companies, Medicaid, Medicare, and other third-party payers
- Complete enrollment processes for new providers and assist with re-enrollment as needed
- Maintain up-to-date knowledge of payer credentialing requirements and processes
- Assist providers with enrollment-related tasks as needed
- Organize and manage electronic records related to provider enrollment status and documentation
- Maintain tracking and submit reports on credentialing and enrollment activities as requested by management
- Liaise with internal departments and external stakeholders to resolve credentialing or enrollment issues
- Provide support and training to providers regarding credentialing and enrollment procedures
- Serve as a primary point of contact for providers and staff regarding payer enrollment
- Prioritize workload to support agency revenue and management goals
- Respond to inquiries promptly and escalate issues when appropriate
Qualifications
- High School Diploma or equivalent
- 1-3 years of experience in credentialing and contracting
- Ability to respond effectively to sensitive inquiries or complaints
- Strong interpersonal skills and ability to work with staff at all levels
- Ability to manage multiple tasks in a fast-paced environment
- Proficiency with Microsoft Office and billing applications
- Strong attention to detail and problem-solving skills
- Excellent written and verbal communication skills
Work Location Remote – time zone will be determined upon hiring Employment Type Full-time (temporary)
How to Apply
If you have experience in provider credentialing and enrollment and are detail-oriented with strong organizational skills, click “Apply Now” to join Clarvida as a Credentialing Coordinator.
Company Description
Clarvida is a trusted provider of behavioral health services, supporting communities across multiple states. We specialize in integrated, person-centered care and partner with families and local systems to deliver outcome-driven mental health and substance use services.
- Learn more:
www.clarvida.com/mission-vision-and-values
- See other opportunities:
www.clarvida.com/working-at-clarvida Equal Opportunity Employer Clarvida is an equal opportunity employer committed to diversity and inclusion. All qualified applicants will receive consideration without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity, disability, veteran status, or any other protected characteristic. Fraud Alert Clarvida never charges fees to apply and does not conduct interviews via messaging apps. Official communication will come from @clarvida.com email addresses or verified Clarvida LinkedIn profiles. Keywords
- Credentialing Coordinator
- Provider Credentialing
- Enrollment Specialist
- Healthcare Credentialing
- CAQH
- Medicaid Enrollment
- Medicare Enrollment
- Behavioral Health Credentialing
- Clarvida Credentialing
Apply tot his job Apply To this Job