Credentialing Coordinator

Join a healthcare innovator transforming how care is delivered! As a Credentialing Coordinator with Aquent's client, you will play a vital role in ensuring healthcare providers meet all necessary requirements to deliver exceptional patient care. Your meticulous attention to detail and commitment to compliance will directly impact the organization's ability to connect patients with qualified and credentialed providers. Be a part of a team making a real difference in healthcare access and quality.

As a Credentialing Coordinator, you will be responsible for reviewing and processing provider credentialing applications, ensuring they meet stringent quality standards and regulatory requirements. You will collaborate closely with internal teams, including Recruiting and Production, to facilitate a seamless credentialing process. Your expertise in navigating complex regulations will be essential to the organization's success.

Responsibilities:

• Review credentialing applications for completeness, accuracy, and compliance with federal, state, and NCQA regulations.
• Conduct primary source verification and validate documentation to ensure the accuracy of all credentialing elements.
• Identify and resolve discrepancies in provider information, communicating potential issues to management.
• Maintain accurate records within the credentialing database, ensuring data integrity and compliance.
• Track verification requests and follow up as needed to ensure timely processing of applications.
• Communicate effectively with providers and internal teams to address credentialing inquiries and resolve issues.
• Stay informed about industry updates and regulatory changes to maintain current knowledge of credentialing best practices.

Must-Have Qualifications:

• Proven experience in a credentialing role.
• NAMSS Certification as a Certified Provider Credentialing Specialist (CPCS) or eligibility within two years.
• Experience with CAQH.
• Medical staff experience.
• Proficiency with Google Suite applications.

The target hiring compensation range for this role is $26.19 to $29.10 an hour. Compensation is based on several factors including, but not limited to education, relevant work experience, relevant certifications, and location.

About Aquent Talent:

Aquent Talent connects the best talent in marketing, creative, and design with the world's biggest brands.

Our eligible talent get access to amazing benefits like subsidized health, vision, and dental plans, paid sick leave, and retirement plans with a match. We also offer free online training through Aquent Gymnasium. More information on our awesome benefits!

Aquent is an equal-opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics. We're about creating an inclusive environment-one where different backgrounds, experiences, and perspectives are valued, and everyone can contribute, grow their careers, and thrive.