Job Summary

Join Monterey as a Credentialing Coordinator, where you’ll play a pivotal role maintaining precision and compliance in the credentialing process for our provider network. This position will work closely with our recruitment and provider relations departments, serving as the main point of contact for all credentialing matters.

Description

Title: Credentialing Coordinator

Department/Group: Provider Recruitment

Position Type: Full-Time

Location: Dayton, OH (Hybrid)

Pay: $45,000 per year

Full-Time/Part-Time

Full-Time

Exempt/Non-Exempt

Exempt

Roles & Responsibilities

• Conduct a comprehensive review of all provider packets prior to their submission to business partners for final credentialing.
• Collaborate with the recruitment team, or provider, to track and update packets requiring modifications to ensure timely processing.
• Be the primary point of contact to business partners for all areas related to credentialing.
• Provide weekly communication on status updates from our business partners on credentialing status updates.
• Communicate credentialing status updates to our established medical groups (NMTG) on a weekly basis.
• Notify appropriate parties/departments once credentialing has been completed.
• Ensure precise entry of approved provider information into the Monterey CRM system, maintaining data accuracy and integrity.
• Execute quarterly audits of records and documentation within the Monterey CRM system to uphold compliance and accuracy standards.
• Monitor the providers process from training status to active status, to ensure providers complete the full onboarding cycle.
• Conduct thorough primary source verification of credentials, licenses, and certifications for healthcare professionals to ensure compliance with regulatory standards and organizational requirements.
• Manage the submission and tracking process for background and medical clearance for providers on specific contracts, ensuring compliance with regulatory requirements.
• Monitor and gather updated credentialing documents from providers as necessary, maintaining accurate and current records.
• Assist with updating and maintaining all provider recruitment credentialing documents and packets on the SharePoint platform in accordance with business partner/specialty specifications.
• Lead provider sourcing initiatives to support the recruitment team.
• Other duties as assigned to support the Monterey Medical Department.

Skills

• Proficient in computer applications, including Microsoft and Adobe Pro
• Exemplary attention to detail
• Ability to meet strict deadlines
• Good organizational skills
• Effective communication skills – written, telephone, and email

Education/Experience

• High School Diploma, or equivalent required
• 1 year of relevant experience in healthcare/medical setting (preferred)

Company Culture

We strive to sustain a corporate culture based on integrity – one that’s focused on treating customers ethically and making their priorities our priorities. We pride ourselves in finding and hiring people with the highest intellectual capital and providing them with challenging opportunities and encouraging their innovation and initiative.

Monterey Consultants, Inc. is an EEO/AA/Disability/Vets Employer

Benefits

• 401(k)
• Dental insurance
• Disability insurance
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

About Monterey

Monterey is a Veterans Affairs (VA) Verified Service-Disabled, Veteran-Owned Small Business (SDVOSB) and a Small Disadvantaged Business (SDB). We graduated from the SBA 8(a) Program and have a variety of contracts available for use.

Monterey brings significant experience performing comprehensive management consulting in support of highly visible Government programs. Monterey currently has several contracts with the Department of Veterans Affairs, the United States Air Force, and the United States Department of Agriculture. We provide acquisition and contract administration support, Lean Six Sigma, market research, strategic sourcing, category management, specialized data analysis, program management, financial/budgetary analysis support, operations/management support, and technical assistance.

EOE Statement

We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.

Location

Ohio