Overview As the largest and leading value-based kidney care company, Somatus is empowering patients across the country living with chronic kidney disease to experience more days out of the hospital and healthier at home. It takes a village of passionate and tenacious innovators to revolutionize an industry and support individuals living with a chronic disease to fulfill our purpose of creating More Lives, Better Lived. Does this sound like you? Showing Up Somatus Strong We foster an inclusive work environment that promotes collaboration and innovation at every level. Our values bring our mission to life and serve as the DNA for every decision we make: Authenticity: We believe in real dialogue. In any interaction, with patients, partners, vendors, or our teammates, we are true to who we are, say what we mean, and mean what we say. Collaboration: We appreciate what every person at Somatus brings to the table and believe that together we can do and achieve more. Empowerment: We make sure every voice gets heard and all ideas are considered, especially when it comes to our patients’ lives or our partners’ best interests. Innovation: We relentlessly look for ways to improve upon the status quo to continuously deliver new solutions. Tenacity: We see challenges as opportunities for growth and improvement — especially when new solutions will make a difference for our patients and partners. Showing Up for You We offer more than 25 Health, Growth, and Wealth Work Perks to help teammates learn, grow, and be the best version of themselves, including: Subsidized, personal healthcare coverage (medical, dental vision) Flexile PTO Professional Development, CEU, and Tuition Reimbursement Curated Wellness Benefits supporting teammates physical and mental well-being Community engagement opportunities And more! The Coordinator Licensing and Credentialing is responsible for maintaining active status for all providers by successfully completing initial and subsequent credentialing packages as required by hospitals, surgery centers, commercial payers, Medicare and Medicaid. Responsibilities Maintain individual provider files to include up-to-date information needed to complete the required governmental and commercial payer credentialing applications. Maintain internal provider grid to ensure all information is accurate and logins are available. Update each provider’s CAQH database profile timely according to the schedule published by CMS. Apply for and renew annually all provider licenses – Professional, DEA, Controlled Substance. Complete revalidation requests issued by government payers. Complete credentialing applications to add providers to commercial payers, Medicare, and Medicaid. Complete re-credentialing applications for commercial payers. Credential new providers and re-credential current providers with hospitals at which they hold staff privileges. Maintain accurate provider profiles on CAQH, PECOS, NPPES, and CMS databases. Work closely with the coding and billing staff to identify and resolve any denials or authorization issues related to provider credentialing. Other duties as assigned. Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Qualifications Required Education and Experience 4 years of credentialing experience preferred 4 years experience in a medical practice business office role required Knowledge of provider credentialing and its direct impact on the practice's revenue cycle High School Diploma or equivalent required Excellent computer schools including payroll processing software, financial accounting software and Microsoft Office Knowledge, Skills, and Abilities Ensures work product demonstrates meticulous attention to detail, accuracy, and completeness. Ensures Ethical Conduct in all areas of work performance. Communicates with co-workers, management, vendors, and others in a courteous and professional manner. Team player with excellent interpersonal skills. Strong written and verbal communication skills. Conform with and abide by all regulations, policies, work procedures, and instructions. Conform with all safety rules and use all appropriate safety equipment. Incredibly strong organizational capabilities with the ability to pivot quickly to prioritize daily functions and responsibilities. Ability to ask clarifying questions Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Somatus, Inc. provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by state, federal, or local law. Further, the company takes affirmative action to ensure that applicants are employed, and employees are treated during employment without regard to any of these characteristics. Discrimination of any type will not be tolerated.