Job Overview
The Clinical Document Coordinator is responsible for supporting provider credentialing and compliance activities by maintaining accurate records, monitoring licensure and certification expirations, and serving as a liaison between providers and the credentialing company. This role ensures all provider documentation is current, organized, and compliant with regulatory and organizational requirements.
Responsibilities
- Licensure & Certification Tracking
- Monitor and track expiration dates for all provider licenses, certifications, and registrations
- Proactively notify providers of upcoming expirations and renewal requirements and collect updated documentation
- Maintain accurate and up-to-date records of all licensure documentation
- Verify insurance coverage and perform insurance eligibility checks using managed care protocols
- Prepare and maintain accurate medical records in compliance with HIPAA regulations and organizational policies
- CAQH Profile Management
- Create, update, and maintain provider profiles within CAQH
- Ensure all attestations are completed on time
- Upload and verify accuracy of provider documents within the CAQH system
- Document Management & Compliance
- Organize and maintain digital files for all provider credentials, including licenses, malpractice insurance, DEA, and certifications
- Ensure all required documentation is current and audit-ready
- Assist with internal and external audits by providing requested documentation
- Credentialing Coordination
- Serve as the primary point of contact between providers and the credentialing company
- Track credentialing application statuses and follow up as needed
- Communicate any missing or incomplete items to providers promptly
- Administrative Support
- Maintain tracking logs and spreadsheets related to credentialing and compliance
- Assist with onboarding new providers by gathering and organizing required documentation
- Support ongoing compliance initiatives and process improvements
Skills
- 2+ years of administrative experience, preferably in healthcare or credentialing
- Experience with CAQH and provider credentialing processes strongly
- Experience with managed care processes and insurance verification procedures
- Familiarity with HIPAA regulations to safeguard patient privacy and confidentiality
- Previous medical office experience preferred for seamless integration into clinical workflows
- Excellent organizational skills with attention to detail in record-keeping and documentation
- Ability to communicate effectively with healthcare providers and internal teams, and 3rd party groups
This role is perfect for motivated individuals eager to grow within the healthcare administration field. Join us in delivering exceptional patient care through efficient administrative support!
Pay: $18.00 - $22.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Work Location: In person