Credentialing Coordinator

🕒 August 1

🇺🇸 United States – Remote

💵 $16 - $30 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 42%

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Logo of American Oncology Network

American Oncology Network

1001 - 5000 employees

Founded 2017

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • Healthcare Insurance • Pharmaceuticals

American Oncology Network is the fastest growing network of community oncology practices dedicated to providing patients with exceptional cancer care close to home. With over 35 years of expertise, AON partners with local practices to improve quality of care, streamline operations, and enhance patient experiences through value-based care and advanced treatment options. Their approach focuses on reducing the administrative burden on physicians while ensuring the long-term viability of community oncology practices.

📋 Description

• Process initial credentialing, re-credentialing, enrollment, reenrollment, provider updates, and reappointments • Prepare, review, and submit credentialing applications • Manage provider participation for timely onboarding and uninterrupted network participation • Maintain provider records in credentialing systems, CAQH, payer portals, and related databases • Obtain, verify, and maintain licenses, certifications, board certifications, malpractice coverage, DEA registrations, and CVs • Monitor expiration dates to ensure continuous compliance • Maintain audit-ready files and support accreditation surveys, delegated credentialing, and regulatory reviews • Serve as primary credentialing contact for providers, payers, hospitals, and internal departments • Monitor application progress and follow up with external organizations • Monitor the Credentialing team inbox and respond to inquiries • Collaborate with Provider Relations, Operations, Revenue Cycle, Billing, Compliance, and leadership • Research and resolve credentialing, enrollment, participation, and demographic discrepancies • Escalate denials, missing documentation, non-responsiveness, and participation or reimbursement risks • Maintain documentation and generate status, aging, productivity, and operational reports • Prioritize high-volume workloads while meeting quality, productivity, and turnaround standards • Participate in workflow improvements and process enhancement initiatives • Maintain knowledge of credentialing standards, payer requirements, regulations, and best practices • Support efficient operations and fiscal responsibility

🎯 Requirements

• High school diploma or GED required • Minimum of 2 years of credentialing experience with working knowledge of provider credentialing, enrollment, and recredentialing processes preferred • Valid state driver's license required for travel to satellite offices and off-site meetings • Must meet the organization's Driver Safety Operations and Motor Vehicle Records Check Policy • Strong analytical, critical thinking, problem-solving, decision-making, planning, organizational, and time management skills • High attention to detail and sound independent judgment • Excellent interpersonal skills, emotional intelligence, diplomacy, tact, conflict resolution, and professionalism • Ability to maintain confidentiality and manage sensitive information • Strong verbal and written communication skills • Ability to prioritize multiple assignments and competing deadlines in a fast-paced, multi-site environment • Ability to work independently with limited supervision in a remote work environment • Proficiency in Microsoft Office Suite: Word, Excel, PowerPoint, and Outlook • Working knowledge of credentialing software, provider databases, and credentialing workflows preferred • Ability to adapt to changing priorities while maintaining quality, accuracy, and operational efficiency • Travel: 0–25%

🏖️ Benefits

• Flexible hours • Ergonomic home office guidance • Communication software accessibility • Home office setup • Remote work environment • Monday to Friday, 8:00 AM–5:00 PM schedule • Minimal lifting and long-screen-exposure accommodations • Reasonable accommodations for qualified individuals with disabilities

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