Credentialing Coordinator

This is an exciting opportunity to join a leading organization in the healthcare sector, dedicated to ensuring the highest standards of quality and compliance in provider networks. As a key partner, Aquent is seeking talented individuals to contribute to a mission-driven environment where precision and dedication directly impact patient care and operational excellence. You will play a crucial role in maintaining the integrity and efficiency of our client's clinician network, directly supporting their commitment to providing exceptional healthcare services.

This vital role is perfect for someone passionate about accuracy and compliance in healthcare administration. You will be instrumental in ensuring that all clinicians meet rigorous standards, allowing them to remain active and provide essential services. Your meticulous work will directly support the seamless operation of a large-scale healthcare network, impacting both providers and the patients they serve. If you thrive in a dynamic environment where your attention to detail makes a real difference, this is the position for you!

To be considered for this role, you must:

• Be authorized to work in the United States
• Not require sponsorship of any kind for the duration of the assignment
• Be able to work on a W-2 basis. C2C or 1099 is not permitted for this position

What You'll Do:

• Ensure strict compliance with industry regulations and client requirements, including NCQA, URAC, Medicare, Medicaid, and various state and federal guidelines.
• Continuously verify state licenses, exclusion lists, DEA registrations, Board Certifications, and Medicare/Medicaid enrollment to maintain an active and qualified clinician network.
• Facilitate the enrollment of clinicians in Medicare and Medicaid programs, adhering to all state and federal guidelines.
• Manage the application process for state licensure for clinicians, ensuring timely and accurate submissions.
• Cultivate strong collaborative relationships with internal teams, including Recruiting, Production, and Education departments.
• Monitor and review clinician files for completeness and accuracy, ensuring all documentation meets quality standards and accreditation requirements.
• Prepare and deliver essential information to both internal and external stakeholders as needed.
• Accurately enter, update, and maintain provider application data within the credentialing database, ensuring data integrity and adherence to internal policies.
• Efficiently manage the high-volume processing of individual applications by preparing, issuing, electronically tracking, and following up on appropriate verifications within strict timelines.
• Communicate clearly and professionally with providers, internal/external clients, and all staff to address day-to-day credentialing inquiries promptly.
• Engage in continuous professional development through seminars, workshops, and affiliations to stay current with healthcare regulations and industry advancements, and contribute to special projects.

Required Qualifications:

• Demonstrated ability to verify licensure and education accurately.
• Proven experience in completing and processing applications.
• Exceptional attention to detail and strong administrative skills.
• Highly preferred experience (1-3 years) in credentialing or licensure.

Preferred Qualifications:

• NAMSS Certification as a Certified Provider Credentialing Specialist (CPCS).
• Experience with CAQH.
• Experience with MD Staff.
• Proficiency in Google Suite

The target hiring compensation range for this role is $16.38 - $18.20 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.

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.

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