Credentialing Project Coordinator

Description

Position Title: Credentialing Project Coordinator

Department: Bayside Counseling Center

Reports to: Counseling Center Director

Classification: Part-time, Temporary (Timeframe to be determined)

FSLA: Non-exempt

Position Summary

Bayside Counseling Center is seeking an individual to coordinate the process of becoming an approved provider with Medicare and commercial insurance companies. 

This position will manage applications, communicate with insurance providers, track progress, and help ensure the Counseling Center and its clinicians complete the necessary steps to accept insurance. 

The ideal candidate is a self-starter who is organized, persistent, and comfortable navigating administrative processes. 

Key Responsibilities

Insurance Credentialing & Enrollment

• Research requirements for Medicare and commercial insurance enrollment. 
• Complete and submit credentialing applications for the Counseling Center and eligible clinicians. 
• Communicate with insurance companies and government agencies to obtain approvals. 
• Coordinate necessary documentation and follow up on outstanding applications. 
• Assist with establishing insurance contracts and provider network participation. 

Project Coordination

• Maintain a centralized tracker of applications, deadlines, approvals, and next steps. 
• Provide regular progress updates to Counseling Center and Bayside leadership. 
• Identify obstacles and proactively work toward solutions. 
• Organize credentialing records, contracts, and related documentation. 

Operational Support

• Work with the Counseling Center and other internal team to prepare for accepting and billing insurance. 
• Help establish processes for maintaining credentials and renewals. 

Requirements

Qualifications

• Strong organizational skills and attention to detail. 
• Ability to manage multiple projects, deadlines, and follow-up tasks. 
• Excellent communication and problem-solving skills. 
• Comfortable using online systems, spreadsheets, and administrative tools. 
• Ability to work independently and take ownership of assigned responsibilities. 

Key Outcomes

Success in this position includes: 

1. Completion and submission of required Medicare and commercial insurance applications. 
2. Securing applicable credentialing approvals and insurance agreements. 
3. Maintaining an accurate, up-to-date tracking system for all applications. 
4. Establishing clear processes for future credentialing and renewals. 
5. Helping prepare the Counseling Center to successfully accept and bill insurance. 

The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description. All duties and responsibilities are essential functions and requirements and are subject to possible modification to reasonably accommodate individuals with disabilities.