Remote Credentialing Coordinator

4 Corner Resources is hiring a Remote Credentialing Coordinator to support one of our enterprise-level, non-profit managed care clients. This position will support credentialing operations by reviewing provider information, maintaining accurate credentialing records, verifying documentation, and ensuring credentialing activities are completed in accordance with regulatory and organizational requirements. Required Skills & Qualifications

• High school diploma or GED.
• 2+ years of credentialing experience or related healthcare administrative experience.
• Experience supporting provider credentialing processes and maintaining credentialing documentation.
• Strong attention to detail and organizational skills.
• Excellent written and verbal communication skills.
• Strong time management and ability to manage multiple priorities.
• Must be authorized to work in the U.S. without sponsorship.
• Must reside in one of the following states:

AL, FL, GA, IN, IA, KS, LA, MS, NC, NE, NV, NH, NJ, NY, OK, SC, SD, TN, TX, VA, WV, WY Preferred Skills & Qualifications

• Experience with CAQH, NPPES, PECOS, or similar credentialing systems.
• Experience verifying licenses, certifications, provider information, and supporting documentation.
• Bachelor’s degree preferred.
• Proficiency with Microsoft Office, including Excel, Word, and PowerPoint.
• Experience with Adobe, Microsoft Access, SAS, or SQL is a plus.
• Strong critical thinking, problem-solving, and analytical skills.

Day-to-Day Responsibilities

• Support provider credentialing activities in accordance with regulatory requirements and company policies.
• Review and verify provider applications, licenses, certifications, and supporting documentation.
• Maintain accurate and complete credentialing files and records.
• Track credentialing activities, outstanding documentation, and required follow-up.
• Identify and resolve credentialing discrepancies and escalate issues as needed.
• Prepare credentialing reports and documentation for internal review.
• Collaborate with internal departments, providers, and third-party vendors to ensure timely completion of credentialing activities.
• Support audits and compliance reviews related to credentialing.
• Assist with provider data and directory updates to ensure accuracy.
• Identify opportunities to improve credentialing processes and workflows.
• Perform additional credentialing and administrative duties as assigned.

Remote Skills: Administrative Skills, Adobe Product Family, Analysis Skills, Communication Skills, Corporate Policies, Detail Oriented, Documentation, Healthcare Administration, High School Diploma, Managed Care, Microsoft Access Database, Microsoft Excel, Microsoft Office, Microsoft PowerPoint, Microsoft Word, Multitasking, Nonprofit, Operational Audit, Operational Support, Organizational Skills, Presentation/Verbal Skills, Problem Solving Skills, Process Improvement, Provider Credentialing, Record Keeping, Regulations, Regulatory Requirements, Reporting Skills, SQL (Structured Query Language), Sales Management, Time Management, Writing Skills 4 Corner Resources Who We Are 4 Corner Resources is a professional recruiting and staffing firm headquartered in Orlando, Florida. Founded in 2005 by a seventh-generation Floridian, our success and reputation as an Orlando staffing agency were built by pairing performance and effectiveness with unmatched personal client service. Our unique ability to combine cultural fitwith technical requirements has earned 4 Corner Resources a reputation as a highly trusted recruiting partner to our clients and candidates alike. Though we are headquartered in the southeastern United States, our team of recruiting and staffing experts work with clients across the country — from Los Angeles to New York City — to ensure they are hiring the right candidate every time. We develop relationships with passive candidates and active job seekers alike to maintain a strong and extensive network of candidates.

Overview

Headquartered in the heart of Downtown Orlando, FL, 4 Corner Resources is a professional recruiting firm specialized in providing Information Technology, Engineering, Marketing, Finance and Contact Center professionals for contract and permanent positions. Website http://www.4cornerresources.com Phone 407-872-1521 Company Size: 100 to 499 employees Industry: Staffing/Employment Agencies 2005 Website: https://www.4cornerresources.com/