Remote Credentialing Coordinator - 4 Corner Resources

4 Corner Resources is currently looking for a Remote Credentialing Coordinator to support one of our enterprise-managed care clients, headquartered in Florida. 
 
This is an excellent opportunity to join a large, highly respected non-profit health insurer on a 6-month contract with the potential to extend or become permanent!
 
Credentialing Coordinator Responsibilities:

• Conduct credentialing for providers, facilities, and vendors, ensuring strict adherence to regulations and policies.
• Prepare informative presentations for quarterly credentialing and delegate vendor oversight committee meetings.
• Facilitate pre-delegation and delegation vendor audits, guaranteeing compliance with contractual arrangements.
• Coordinate the preparation of hard-copy directories, collaborating with third-party vendors for online directory postings, and meticulously reviewing data for accuracy.
• Communicate effectively with internal departments and external partners.
• Identify opportunities for process improvement to enhance regulatory compliance and adherence to state and federal regulations.
• Proactively raise and address issues to management, contributing to resolution efforts.
• Perform additional duties as assigned.

• High School diploma/GED
• 2-3 years of relevant experience

• Experience with credentialing providers utilizing CAQH system.
• Bachelor's degree
• Strong time and project management, critical/creative thinking, communication, and problem-solving skills.
• Intermediate proficiency in Microsoft software, including Adobe, Access, Excel, Word, PowerPoint, and Office.
• Proficiency in SAS and SQL skills.

• $19-23/HR

• Ability to work remotely.
• Opportunity to work with an enterprise-level client.
• Great foot-in-the-door opportunity!