Credentialing Coordinator

Overview

Aquent is seeking talented individuals to partner with a leading organization in the healthcare sector, dedicated to ensuring the highest standards of quality and compliance in provider networks. This organization is committed to providing exceptional healthcare services and is seeking passionate individuals to contribute to a mission-driven environment where precision and dedication directly impact patient care and operational excellence. You will play a crucial role in maintaining the integrity and efficiency of their clinician network, directly supporting their commitment to healthcare excellence.

This is an exciting opportunity for a meticulous and dedicated professional to make a significant impact on the seamless operation of a large-scale healthcare network. You will be instrumental in ensuring that all clinicians meet rigorous standards, allowing them to remain active and provide essential services to patients nationwide. If you thrive in a dynamic environment where your attention to detail makes a real difference, contributing directly to the quality of patient care, this is the position for you!

Key Responsibilities

• Ensure strict compliance with industry regulations and client requirements, including NCQA, URAC, Medicare, Medicaid, and various state and federal guidelines.
• Continuously verify state licenses, exclusion lists, DEA registrations, and Board Certifications to maintain an active and qualified clinician network.
• Facilitate the enrollment of clinicians in Medicare and Medicaid programs, adhering to all state and federal guidelines.
• Manage the application process for state licensure for clinicians, ensuring timely and accurate submissions.
• Cultivate strong collaborative relationships with internal teams, including Recruiting, Production, and Education departments.
• Monitor and review clinician files for completeness and accuracy, ensuring all documentation meets quality standards and accreditation requirements.
• Prepare and deliver essential information to both internal and external stakeholders as needed.
• Accurately enter, update, and maintain provider application data within the credentialing database, ensuring data integrity and adherence to internal policies.
• Efficiently manage the high-volume processing of individual applications by preparing, issuing, electronically tracking, and following up on appropriate verifications within strict timelines.
• Communicate clearly and professionally with providers, internal/external clients, and all staff to address day-to-day credentialing inquiries promptly.
• Engage in continuous professional development through seminars, workshops, and affiliations to stay current with healthcare regulations and industry advancements, and contribute to special projects.

Must-Have Qualifications

• Demonstrated ability to verify licensure and education accurately.
• Proven experience in completing and processing applications.
• Exceptional attention to detail and strong administrative skills.
• Highly preferred experience (1-3 years) in credentialing or licensure.
• Must be authorized to work in the United States.
• Must not require sponsorship of any kind for the duration of the assignment.
• Must be able to work on a W-2 basis. C2C or 1099 is not permitted for this position.

Nice-to-Have Qualifications

• NAMSS Certification as a Certified Provider Credentialing Specialist (CPCS).
• Experience with CAQH.
• Experience with MD Staff.
• Proficiency in Google Suite.

The target hiring compensation range for this role is $16.38 – $18.20 an hour. Compensation is based on several factors, including but not limited to education, relevant work experience, relevant certifications, and location.

About Aquent Talent:

Aquent Talent connects the best talent in marketing, creative, and design with the world’s biggest brands.
Our eligible talent get access to amazing benefits like subsidized health, vision, and dental plans, paid sick leave, and retirement plans with a match. We also offer free online training through Aquent Gymnasium. More information on our awesome benefits!
Aquent is an equal-opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics. We’re about creating an inclusive environment-one where different backgrounds, experiences, and perspectives are valued, and everyone can contribute, grow their careers, and thrive.