Job Summary We are seeking a highly organized and detail-oriented Provider Expirables Coordinator to assist a large healthcare organization. This role is pivotal in managing provider credentialing expirables, ensuring compliance with healthcare regulations, and maintaining accurate provider records. The successful candidate will play a key role in supporting healthcare operations by overseeing credentialing timelines, coordinating with medical providers, and ensuring adherence to regulatory standards such as CMS, JCAHO, and NCQA.

Key Responsibilities:

Monitor and manage expiration dates of provider credentials, licenses, and certifications to ensure timely renewals Coordinate with medical providers to facilitate credentialing application submissions and renewals Review and verify medical credentialing applications for completeness and accuracy Maintain comprehensive databases of provider information using healthcare software applications Ensure compliance with federal, state, and local healthcare regulations, including CMS guidelines Collaborate with medical offices and payer enrollment teams to facilitate provider enrollment processes Track expiration notices and generate reminders for upcoming credentialing deadlines Assist in preparing documentation for accreditation audits such as JCAHO and NCQA standards Handle confidential information with the utmost discretion and adhere to healthcare compliance policies Support contract management activities related to provider agreements and credentialing contracts

Qualifications:

Minimum of three years' experience in healthcare administration or medical office management, with a focus on credentialing or provider data management Strong knowledge of managed care processes, health insurance policies, and payer enrollment procedures Proficiency in Microsoft Office Suite (Word, Excel, Outlook) and healthcare-specific software applications Experience with medical credentialing software and medical credentialing application review processes Familiarity with Centers for Medicare and Medicaid Services (CMS) regulations and compliance requirements Understanding of health regulation policies, accreditation standards (JCAHO, NCQA), and healthcare quality metrics Knowledge of medical terminology, database management systems, and healthcare compliance protocols

Pay:

$22.00 - $25.00 per hour

Work Location:

In person