Credentialing Coordinator

​​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 offboarding 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.

• Own agreement workflows with all contracted providers ensuring new applications/licenses are recorded accurately in the credentialing database.

• 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