Onboarding & Credentialing Coordinator

As an Onboarding & Credentialing Coordinator, you will:

• Coordinate and manage the end-to-end provider onboarding process and full-cycle credentialing and re-credentialing process for physicians, nurse practitioners, physician assistants, behavioral health clinicians, and other licensed professionals. 

• Collect, verify, and maintain all required provider documentation, including licensure, board certification, DEA, malpractice insurance, and background checks. 

• Ensure provider profiles are accurately maintained and updated in internal systems and CAQH. 

• Maintain and update provider data in Credentialing Platform – Verifiable. 

• Prepare credentialing files and materials for committee review and approval. 

• Collaborate with Licensing and Enrollment Specialists to ensure all required information is collected for successful Provider enrollment. 

• Schedule and facilitate provider Welcome Call. 

• Communicate regularly with new providers and internal stakeholders to provide status updates 

• Identify process improvements to enhance onboarding efficiency and provider satisfaction. 

• Ensure compliance with organizational policies, NCQA, CMS, and state regulatory requirements. 

• Support audits and reporting needs related to onboarding metrics and performance. 

• Perform other position duties as required 

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What You Bring & How You Qualify 

First and foremost, you’re passionate and committed to reimagining pediatric health care and creating a world where every child with complex medical conditions gets the care and support they deserve. 

• Commitment to continuous learning and staying up to date on the Credentialing industry 

• Experience in Provider data management and Credentialing management for a multi-specialty practice 

• Exceptional organizational skills, independent work management skills, and proficiency in working with computerized databases required  

• Experience working in a growing start up or fast-paced environment 

• H.S. Diploma/GED Equivalent