Credentialing Coordinator – Healthcare Facilities Licensing

About Pediatric Home Service

At Pediatric Home Service we help medically complex kids live their best lives at home with their families.

As a national leader in pediatric home care we offer a full range of services including infusion clinical nutrition respiratory therapy PPEC private duty nursing and DME.

Whether youre caring for patients or supporting behind the scenes every role at PHS makes a difference.

Join a mission driven team thats committed to putting children and families first.

Position:
Credentialing Coordinator

Compliance Facilities Licensing

Location:

Remote Open to Minnesota or Kansas

Hours Monday Friday 800 AM 500 PM

Position Detail Were looking for an organized and detail oriented Credentialing Coordinator to join our team In this role youll help manage the credentialing and recredentialing process for our facilities and locations ensuring information is accurate complete and compliant with applicable requirements Youll work closely with providers and internal teams to collect and verify documentation manage commercial Medicare and Medicaid enrollment applications track credential expirations and help keep the credentialing process moving forward for our entity locations This is a great opportunity for someone who enjoys staying organized solving problems and working across multiple priorities in a fast paced healthcare environment Coordinate provider credentialing and recredentialing processes in accordance with regulatory requirements and organizational standards

Collect review and verify facility documentation including licenses certifications inspections and revalidation for payer city county and state requirements

Complete and submit Medicare and Medicaid enrollment applications accurately and timely;
Track license certification and credential expiration dates and help ensure timely renewals

Serve as a primary point of contact for providers regarding credentialing status required documentation and outstanding items

Maintain accurate provider and regulatory information within credentialing software files and tracking systems

Communicate with state agencies licensing boards CMS and other external organizations to obtain or verify provider information

Support credentialing related audits inquiries and requests for information;
Partner with Real Estate Compliance and Clinical Operations to support a smooth credentialing experience

Identify and help resolve credentialing issues in a timely and professional manner

Prepare and maintain reports related to credentialing status turnaround times and other key metrics

Maintain confidentiality of provider information in accordance with HIPAA and organizational requirements

High school diploma or equivalent required;
Associate or bachelors degree in Healthcare Administration Business or a related field preferred

One 1 year of experience in healthcare credentialing facility credentialing payer enrollment compliance or healthcare administration

Experience supporting credentialing or enrollment for healthcare facilities locations branches or organizations rather than solely individual provider credentialing preferred

Familiarity with healthcare regulatory requirements HIPAA accreditation standards and payer requirements

Experience working with CMS state Medicaid programs insurance payers licensing agencies or other regulatory entities preferred

Ability to track multiple applications renewals licenses certifications deadlines and outstanding documentation simultaneously

Strong attention to detail with the ability to identify missing or inconsistent information and follow items through to resolution

Strong written and verbal communication skills with the ability to work effectively with payers regulatory agencies internal leaders and operational teams

Strong organizational and time management skills with the ability to independently manage competing priorities in a remote fast paced environment

Proficiency with Microsoft Office and experience with credentialing enrollment or healthcare management systems Preferred Facility credentialing and payer enrollment experience strongly preferred

Experience credentialing or enrolling multiple healthcare locations facilities or branches across multiple states

Experience supporting credentialing audits renewals and regulatory requests

Experience with in home healthcare DME pediatric healthcare Pediatric Prescribed Extended Care PPEC or another multi location healthcare organization

• Generous Paid Time…