Coordinator - Credentialing and Enrollment

Are you passionate about ensuring that healthcare providers are properly credentialed and enrolled with insurance plans? Do you have a strong attention to detail and the ability to coordinate multiple tasks simultaneously? We are seeking a highly organized and detail-oriented Coordinator for our Credentialing and Enrollment team at Atrium Health. In this role, you will play a crucial role in maintaining our network of providers and ensuring that our patients have access to quality care. If you have a background in credentialing and enrollment and are looking for a dynamic and collaborative work environment, we encourage you to apply.

1. Manage the credentialing and enrollment process for healthcare providers, ensuring all necessary documents and information are obtained and updated in a timely manner.
2. Review and verify provider application materials, including licenses, certifications, and malpractice insurance, to ensure compliance with organizational and regulatory standards.
3. Communicate with providers and insurance plans to resolve any issues or discrepancies in credentialing and enrollment.
4. Maintain accurate and up-to-date provider information in the credentialing and enrollment database.
5. Collaborate with various departments within the organization to ensure that all providers are properly credentialed and enrolled with insurance plans.
6. Monitor expiration dates for provider credentials and initiate the recredentialing process in a timely manner.
7. Develop and maintain relationships with insurance plans to facilitate smooth and efficient credentialing and enrollment processes.
8. Keep abreast of industry changes and updates related to credentialing and enrollment requirements.
9. Handle confidential information with discretion and ensure compliance with HIPAA regulations.
10. Participate in departmental meetings and trainings to stay informed of policies and procedures related to credentialing and enrollment.
11. Assist in the development and implementation of process improvements to increase efficiency and accuracy in the credentialing and enrollment process.
12. Act as a resource for providers and other team members regarding credentialing and enrollment policies and procedures.
13. Maintain documentation and records related to credentialing and enrollment activities.
14. Adhere to all organizational and regulatory standards and requirements related to credentialing and enrollment.
15. Collaborate with other team members to ensure a high level of customer service for providers and insurance plans.

According to JobzMall, the average salary range for a Coordinator - Credentialing and Enrollment in Charlotte, NC, USA is between $45,000 to $65,000 per year. This salary range may vary depending on factors such as years of experience, education level, and specific job responsibilities.

Atrium Health, formerly Carolinas HealthCare System, is a not for profit hospital network which operates hospitals, freestanding emergency departments, urgent care centers, and medical practices in the American states of North Carolina, South Carolina and Georgia.