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Credentialing Coordinator: Manage healthcare provider credentials, collaborate with teams, and ensure compliance with regulations.
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Credentialing Coordinator
hims & hers
Job Location
Salary Range
55k - 70k USD / YEAR
Job Summary
The Credentialing Coordinator will perform all aspects of credentialing healthcare professionals, including onboarding new providers, resolving issues, and ensuring current certification and licensure. They will report to the Credentialing Manager and collaborate with the Telemedicine Team. The role involves managing credentialing-related support issues, coordinating with external credentialing verification organizations, auditing compliance, and monitoring data integrity. The ideal candidate has a Bachelor's Degree in a related field and at least 2 years of credentialing experience. They must demonstrate excellent communication skills, attention to detail, and computer skills. The Credentialing Coordinator will work remotely and be part of a fast-growing company with flexible benefits and opportunities for growth.
About the Role:
The Credentialing Coordinator will perform all aspects of credentialing of healthcare professionals. This includes onboarding new providers, assisting in resolution of issues facing current providers, and ensuring all providers have current certification and licensure. The Credentialing Coordinator will report to the Credentialing Manager, and collaborate with the Telemedicine Team.
You Will:
Partner with the Credentialing Manager and third-party service providers to ensure all new and existing providers possess the required credentials and licenses to operate compliantly and safely on the H&H platform, that these are documented accurately, and work with providers to ensure that these credentials are kept up to date.
Manage, resolve, or escalate credentialing related support issues through ZenDesk. Identifying common themes and developing processes to improve the provider experience.
Own the provider licensing process.
Coordinate with external credentialing verification organization (CVO) to both process applications in a timely manner and deepen partnership by providing regular feedback to support our needs.
Audit and verify compliance with NCQA and state-level requirements for providers to practice.
Continuously monitor credentialing related data integrity between multiple provider data management systems. Identifying potential red flags or quality concerns during the credentialing process.
Perform employment verifications and send out certificates of insurance for current providers.
Work cross-functionally with the Provider Success team to streamline and support credentialing processes related to provider onboarding.
Work externally with third-party service providers to analyze, iterate, and document processes, providing recommendations for improving efficiencies.
Work with the Credentialing Manager to analyze, recommend improvements, and build out the credentialing program.
You Have:
Bachelor’s Degree preferred and a minimum of two (2) years of credentialing experience with working knowledge of credentialing accreditation regulations, policies and procedures, and NCQA standards.
Must demonstrate exceptional communication skills - both written and verbal, listening effectively and asking questions when clarification is needed.
Must be a self-starter with strong attention to detail
Must be able to plan and prioritize to meet deadlines; with the ability to re-prioritize as needed.
Excellent computer skills including Excel, Word, Google Suite, and Internet use.
Our Benefits (there are more but here are some highlights):
Competitive salary & equity compensation for full-time roles
Unlimited PTO, company holidays, and quarterly mental health days
Comprehensive health benefits including medical, dental & vision, and parental leave
Employee Stock Purchase Program (ESPP)
Employee discounts on hims & hers & Apostrophe online products
401k benefits with employer matching contribution
Offsite team retreats
#LI-Remote
