Teleios Collaborative Network · 4 hours ago
Credentialing Coordinator
United States
Full-time
Remote
Entry Level
1+ years expTeleios is excited to offer an opportunity for a Credentialing Coordinator who will be integral to their team. The role involves processing provider applications, verifying credentials, ensuring compliance, and maintaining credentialing databases.
ConsultingHealth CareNon Profit
Responsibilities
Process provider initial and reappointment applications; monitor and follow-up as needed to ensure timely appointments and privileges
Verification of provider credentials and the facilitation of initial appointment and reappointment
Ensure accurate and timely submission of credentialing and recredentialing applications for both organizations and individual providers; monitor and follow-up as needed to ensure credentialing compliance
Coordinate and assist in the enrollment, re-enrollment, revalidation, and submission of data/documents for providers and organizations so that they may submit claims for payment
Track and monitor documents of current state licenses, Drug Enforcement Agency certifications, malpractice coverage, specialty certifications, health records and other required credentialing documents to ensure the timely renewals for all providers and regulatory compliance
Maintain multiple Provider Credentialing Databases
Communicate with payers, providers, leadership, and other entities to support activities with regards to real-time information, schedules, provider requests and meetings
Assist in compliance with the accrediting and regulatory agencies regarding credentialing while developing and maintaining a working knowledge of the statutes, regulations, and laws
Ability to excel in a dynamic setting, adaptable, and resilient
Completion of organizational required education, setting goals and other assignments
Qualification
Required
Associate degree in business, healthcare management, or equivalent
1+ years Credentialing and Payer Enrollment experience
Computer and MS Office workplace experience
Company
Teleios Collaborative Network
Teleios Collaborative Network is an organizational model that allows not-for-profit hospices to leverage best practices.
11-50 employees
Funding
Current Stage
Early StageLeadership Team
Alyson Cutshall
Chief Growth Officer
Angela Gruebbel, CPHRM
Chief Risk Officer
Company data provided by crunchbase