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Credentialing Coordinator

PublishedPublished: 6/14/2022
Healthcare

Job Description

Location: Hybrid – Philadelphia, PA (Onsite 1 day/week – Monday)

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Duration: 3+ Months Contract

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Schedule: 40 hours/week | 8:00 AM – 5:00 PM (1-hour lunch)

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Job Summary

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Seeking an Enrollment Coordinator with experience in provider enrollment, credentialing, or medical insurance verification. The ideal candidate will manage provider enrollment applications, maintain credentialing records, ensure compliance with payer requirements, and coordinate with physicians, payers, and internal teams to support timely reimbursement.

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Required Skills

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  • 2+ years of provider enrollment, medical insurance verification, billing, or provider relations experience.
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  • Knowledge of Medicare, Medicaid, and commercial payer enrollment processes.
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  • Experience with CAQH, NPPES, NaviNet, and ECHO.
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  • Strong understanding of healthcare provider credentialing and insurance operations.
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  • Proficiency in Microsoft Office (Excel, Word, PowerPoint).
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  • Excellent organizational, communication, and problem-solving skills.
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