Credentialing Coordinator

CarePoint is seeking a detail-oriented and proactive Credentialing Coordinator to manage the full lifecycle of provider credentialing and re-credentialing for hospital privileges. You will act as the primary liaison between our physicians, medical boards, and insurance payers. Your goal is to ensure 100% compliance with federal, state, and internal regulations while getting credentials for our physicians and APPs in a fast-paced work environment.

Responsibilities

Lead the initial credentialing and primary source verification process for all new physicians and advanced practice providers specifically our Neurosurgery Service Line; Cross train for all other Service Lines and states; Own and maintain all the internal provider database (Modio and Google files) for all service lines; Track the expiration dates of medical licenses, DEA certifications, board certifications, and malpractice insurance to ensure zero lapses in coverage; Coordinate with R1(Billing company) to ensure providers have started enrollment process with their R1 Enrollment Specialist; Serve as the point of contact for providers, helping them navigate complex paperwork and providing status updates

Requirements

3+ years of experience in hospital/provider credentialing or medical staff services; Deep understanding of the credentialing process; Proficiency in Microsoft Office (Excel/Google Sheets is a must) and experience with credentialing databases; An eagle eye for discrepancies in CVs, peer references, or work history; Strong verbal and written communication skills for interacting with busy physicians; Professionalism when handling sensitive, confidential provider information; Ability to manage high volumes of documents for multiple providers simultaneously without missing deadlines; The ability to work remote with a tight knit team of experts in this field; A can-do attitude and self-starter; Excellent customer service skills

Benefits

Comprehensive health coverage, including medical, dental, and vision insurance, with access to a Health Savings Account (HSA); Wellbeing and support resources, including an Employee Assistance Program offering confidential counseling and support services; Time away from work benefits, featuring accrued paid time off that increases with tenure, along with paid parental leave; Financial security and protection, including a 401(k) retirement plan, life insurance, and identity theft protection