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Coastal Health · 1 week ago

Credentialing Associate

Orange Park, FL

Full-time

Onsite

Entry Level

2+ years exp

Coastal Health is seeking a highly motivated and detail-oriented Credentialing Coordinator to join their growing team. This role is essential in ensuring timely and accurate provider enrollment and credentialing while supporting physicians and internal stakeholders throughout the process.

Health CareMedicalTherapeutics

Responsibilities

Manage the submission, tracking, and completion of provider enrollment applications

Perform consistent follow-up to ensure provider numbers are established accurately and within required timelines

Maintain thorough knowledge of payer-specific enrollment requirements, including prerequisite forms, supporting documentation (DEA, licenses, CVs, etc.), and applicable regulations

Maintain accurate documentation and reporting related to provider enrollment

Retain records of completed enrollment applications in accordance with company and regulatory standards

Collaborate closely with providers to expedite completion of applications, including obtaining signatures and required documentation

Maintain up-to-date provider enrollment information within the credentialing database

Ensure credentialing files are current and complete, including monitoring expiration dates for licenses, board certifications, professional liability insurance, DEA registrations, and other required credentials

Process re-credentialing applications for providers with facilities and/or payers

Perform additional credentialing-related duties as assigned by the Credentialing Manager

Qualification

Medical CredentialingProvider EnrollmentPayer EnrollmentMicrosoft OfficeVerbal CommunicationOrganizational SkillsAttention to DetailTime ManagementIndependent Work