About the Role
Coordinate medical services to ensure efficient patient care delivery, manage provider documentation, and support compliance with healthcare standards. Facilitate communication between clinical staff and departments to maintain accurate records and streamline operations within a patient-focused environment.
Responsibilities
- Organize and maintain medical provider credentials and licensing documents
- Ensure timely submission and renewal of clinical staff certifications
- Support onboarding processes for new medical providers
- Verify compliance with state and federal healthcare regulations
- Coordinate between clinical teams and administrative departments
- Track and update provider enrollment in insurance networks
- Assist in resolving credentialing issues with payers
- Maintain accurate electronic records for medical staff files
- Monitor deadlines for license renewals and continuing education
- Facilitate internal audits of medical documentation
- Respond to requests for provider information from internal and external parties
- Collaborate with HR on provider contract documentation
- Support quality assurance initiatives related to medical services
- Manage scheduling for provider meetings and training sessions
- Assist in the implementation of policy changes affecting clinical operations
- Prepare reports on credentialing status and compliance metrics
- Serve as a point of contact for medical staff inquiries
- Ensure confidentiality and security of provider records
- Track provider availability and coverage schedules
- Assist with special projects related to medical operations
Requirements
- Bachelor's degree in health administration, business, or related field
- Minimum of two years of experience in healthcare administration
- Familiarity with medical credentialing and provider enrollment processes
- Strong knowledge of HIPAA regulations and patient privacy standards
- Experience managing confidential medical records
- Proficiency in electronic health record (EHR) systems
- Excellent organizational and time management skills
- Ability to handle multiple tasks with attention to detail
- Strong written and verbal communication abilities
- Experience working in a fast-paced clinical environment
- Understanding of state and federal healthcare compliance requirements
- Ability to collaborate effectively with clinical and administrative staff
- Skilled in Microsoft Office Suite, particularly Excel and Word
- Proven ability to meet deadlines and follow through on assignments
- Valid driver's license and ability to travel between sites if needed
Nice to Have
- Certification in healthcare administration or medical office management
- Experience working with multidisciplinary clinical teams
- Knowledge of National Practitioner Data Bank (NPDB) processes
- Familiarity with credentialing databases such as CAQH
- Prior experience in a mental health or behavioral health setting
- Understanding of managed care and insurance paneling procedures
- Experience supporting telehealth operations
- Background in regulatory compliance audits
Benefits
- Comprehensive medical, dental, and vision insurance
- Employer-paid life and disability insurance
- Flexible spending account (FSA) options
- Health savings account (HSA) with employer contribution
- 401(k) retirement plan with company match
- Paid time off and paid holidays
- Employee assistance program (EAP)
- Professional development and continuing education support
- Tuition reimbursement program
Compensation
Competitive salary based on experience and qualifications
