Credentialing Coordinator Provider Credentialing and Licensure

Job DutiesVerify state licenses, DEA registrations, board certifications, exclusion lists, and Medicare/Medicaid enrollment statusSupport clinician enrollment in Medicare and Medicaid programsAssist with clinician state licensure applicationsReview credentialing files for completeness, accuracy, and complianceMaintain credentialing databases and provider recordsEnter, update, and maintain provider informationPrepare, issue, track, and follow up on verification requestsMonitor credentialing files and application statusCommunicate with providers and internal stakeholders regarding credentialing mattersEnsure compliance with NCQA, URAC, Medicare, Medicaid, delegation agreements, and applicable regulationsSupport special projects as assignedMaintain confidentiality of protected health information (PHI)**Only those lawfully authorized to work in the designated country associated with the position will be considered.** This role works closely with internal departments and external providers to verify credentials, process applications, maintain accurate records, and support Medicare and Medicaid enrollment activities.

Credentialing Coordinator (Provider Credentialing & Licensure)The Credentialing Coordinator is responsible for supporting provider credentialing, licensure, enrollment, and compliance activities while ensuring adherence to accreditation standards, client requirements, and regulatory guidelines. This role works closely with internal departments and external providers to verify credentials, process applications, maintain accurate records, and support Medicare and Medicaid enrollment activities.Job DutiesVerify state licenses, DEA registrations, board certifications, exclusion lists, and Medicare/Medicaid enrollment statusSupport clinician enrollment in Medicare and Medicaid programsAssist with clinician state licensure applicationsReview credentialing files for completeness, accuracy, and complianceMaintain credentialing databases and provider recordsEnter, update, and maintain provider informationPrepare, issue, track, and follow up on verification requestsMonitor credentialing files and application statusCommunicate with providers and internal stakeholders regarding credentialing mattersEnsure compliance with NCQA, URAC, Medicare, Medicaid, delegation agreements, and applicable regulationsSupport special projects as assignedMaintain confidentiality of protected health information (PHI)**Only those lawfully authorized to work in the designated country associated with the position will be considered.** **Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client's business needs and requirements.**