Credentialing Coordinator
$52,000–$52,000 year
On-siteSyracuse, New York, United States
Job Summary
Manage credentialing and re-credentialing for all providers and programs by working with third-party payers to ensure forms are complete and processed for revenue maximization. Create, organize, and maintain accurate provider files while tracking expiration dates to prevent billing gaps. Process initial and re-credentialing applications, populate credentialing software, run reports, and maintain logs of expiring data. Serve as a liaison between providers, operations, HR, and payers to coordinate onboarding, resolve discrepancies, and implement payer policy updates. Communicate statuses, barriers, and solutions to Revenue Cycle Leadership.
Required Qualifications
- Stay current on third party payer provider credentialing processes and policies
- Maintain an effective organizational system for current and previous providers
- Maintain logs and records of applicable expiring credentialing data
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