Overview
Insight Global is seeking a CAQH Credentialing Coordinator for a large medical group in Marlton, NJ. This is a hybrid role with 1 day onsite per week. The coordinator manages credentialing activities, ensures data accuracy, and supports onboarding and payer processes.
Responsibilities
- Coordinate compliance and accuracy of clinician information in CAQH and PECOS databases for VMG clinicians, ensuring timely recredentialing and billing capability.
- Update and attest provider data, maintain practice location information for ADA compliance, and manage Medicare / Medicaid rosters.
- Process monthly CAQH attestations and onboard new providers, handling basic data manipulation in Excel.
- Communicate with medical affairs and payer credentialing teams to address expirable items and keep credentialing data up to date.
- Manage a panel of roughly 300–350 providers and use DocuSign for required documentation.
- Work independently with strong work ethic; demonstrate excellent communication and organizational skills.
- Collaborate with a team that includes 3 coordinators, 1 specialist, 1 supervisor, and the AVP of Physician Compliance.
Qualifications
At least 3 years of credentialing or billing experience.Strong knowledge of CAQH, NPI, and PECOS.Excellent communication and organizational skills; ability to work independently and remotely.Proficiency in Excel and basic data manipulation.Ability to manage a large provider panel (300–350) and work in a hybrid environment (1 day onsite in Marlton, NJ).All work is electronic and equipment will be provided. This role is part of a larger team dedicated to physician compliance and credentialing.
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