Responsibilities

The Credentialing and Enrollment Coordinator will assist in verifying educational background, licenses, and certifications of healthcare providers, conduct background checks under supervision, support compliance efforts with regulatory and accrediting institutions, monitor staff credentials and licenses, prepare basic reports on credentialing activities, support the processing of provider enrollment applications, assist with payer enrollment and revalidation tasks, manage communication with providers, insurances, and related entities, and support provider education efforts on enrollment requirements. They will also input provider information into credentialing databases and systems, maintain data accuracy and confidentiality, generate basic reports related to credentialing and enrollment, and provide customer service support and help respond to inquiries.