Credentialing Coordinator

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Lighthouse Autism Center

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

💰 Private Equity Round on 2021-07

Healthcare • Healthcare Insurance

Lighthouse Autism Center is a dedicated facility providing comprehensive therapy services for children with autism. With over a decade of experience, they offer a wide range of personalized, evidence-based therapeutic approaches such as ABA therapy, speech therapy, and school readiness programs. Their compassionate and clinically excellent team aims to unlock each child's unique strengths and potential in a nurturing environment, supporting families in the Midwest. Through innovative models like the Lighthouse Fusion approach, they make a significant difference in the developmental paths of children on the autism spectrum.

📋 Description

• Coordinate onboarding activities for newly hired clinical providers and ensure credentialing prerequisites are completed before enrollment submission • Verify provider demographic and professional information, including licensure, certifications, education, and credentialing documentation • Create and maintain NPI records, CAQH profiles, MedTrainer profiles, and other credentialing-system records • Update CentralReach provider profiles and claim settings as necessary • Collect licenses, board certifications, curricula vitae, and supporting documentation • Guide providers through payer enrollment applications and attestations • Provide completed enrollment packets and supporting documentation to the Credentialing Enrollment Specialist • Collaborate with Human Resources, Clinical Operations, hiring managers, and enrollment teams to monitor onboarding progress and targeted start dates • Maintain accurate credentialing records and monitor license expirations and other requirements • Respond to provider questions about onboarding, credentialing, and enrollment documentation • Maintain workflows, checklists, standard operating procedures, and processing documentation • Identify opportunities to improve onboarding efficiency and the provider onboarding experience

🎯 Requirements

• Exceptional organizational skills, attention to detail, and commitment to accuracy • Ability to manage multiple onboarding, application, and credentialing tasks while meeting deadlines • Strong prioritization and time management skills in a fast-paced environment • Ability to coordinate provider onboarding and collect required credentialing and enrollment documentation timely • Proficiency in Microsoft Office Suite and provider database, credentialing, and enrollment systems • Experience maintaining accurate records, data integrity, and documentation within credentialing and onboarding platforms • Strong verbal and written communication skills • Ability to follow established processes and identify onboarding-efficiency improvements • Understanding of confidentiality requirements and ability to handle sensitive information discreetly • Ability to work independently and collaborate with Human Resources, Clinical Operations, Credentialing, and Compliance teams • High school diploma or equivalent required • Associate's or Bachelor's degree in Healthcare Administration, Business Administration, or a related field preferred • Minimum one year of experience in healthcare onboarding, credentialing, provider enrollment, medical office administration, or related healthcare support

🏖️ Benefits

• Fully remote work arrangement