Senior Credentialing Coordinator

Reporting to the Manager of Payor Relations and Credentialing, the Senior Credentials Coordinator is responsible for credentialing APDerm providers which includes assisting the providers with the completion of credentialing paperwork, hospital medical staff applications, provider enrollment forms and applications for malpractice insurance. This position will work closely with various departments including Human Resources, Operations, Recruiting and Revenue Cycle. 

Responsibilities:

Acquisitions:

• Collect supporting documents, needed information from former credentialing team/coordinator
• Ownership update in NPPES/CMS/PECOS o Create Modio profiles for acquired onboarding providers

Portal Attestations:

• Ensure all provider information is updated and accurate
• Attestation of portal information

Modio Software Master Maintenance:

• Ensure all organizational and external information is accurate and up to date
• Updates and maintains provider credentialing tracking in Modio
• Maintain CAQH website for all providers

Provider Licensing and Certificates:

• Provides support to providers by assisting in state license, DEA and controlled substance applications.

Hospital Credentialing:

• Provide requested information to hospitals in a timely manner including collection and distribution of all required documents and forms
• Provide insurance companies with any updates on provider information PRN
• Update PECOS for providers and revalidate accounts
• Regularly communicates with providers to provide updates on the status of his/her credentialing applications.

Participates in other duties and responsibilities as assigned

Minimum Qualifications:

• Bachelor’s degree in healthcare administration or business or equivalent amount of education and experience.
• Understanding of CAQH

Skills, Knowledge, & Abilities:

• Demonstrate a professional and adaptable demeaner with internal and external clients, including administrators, physicians, peers, and support staff;
• Exhibit a high energy level, and demonstrate the ability to work as a valuable contributor to the team, with flexibility in work habits to schedule and meet the needs of the department;
• The ability to multi-task, plan and prioritize a large volume of detail-oriented work in accordance with changing deadlines;
• Advanced computer skills including, but not limited to, Microsoft Outlook, Microsoft Word, and Excel;
• Strong analytic and problem solving and project management abilities;
• Must be a highly motivated candidate with the ability to work independently and in a highly fluid environment

The salary for this role will range from USD $26.69 to 36.22 per hour based on full-time employment. Salary offers are based on a wide range of factors including but not limited to location, relevant skills, training, education, etc. Certain roles may be eligible for performance-based incentive compensation and/or long-term incentives. APDerm supports your life's needs through an extensive offering comprehensive, competitive and inclusive set of health, financial and other benefits that support your total well-being.

APDerm is proud to be an equal employment opportunity and affirmative action workplace. We consider all qualified applicants without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender identity or expression, national origin, military and veteran status, disability, genetics, or any other category protected by federal law or APDerm policy.

Please email humanresources@apderm.com if you need a disability accommodation for any part of the employment process.