Location:
Remote Position
Pay Range:
$20.78 - $36.53
Processes credentialing and re-credentialing applications of health care practitioners/providers. Monitors Credentialing group inbox to ensure all emails are addressed. Researches and solves participation issues as they arise. Supports the financial goals of the company by being fiscally responsible in all areas, including staffing and purchasing.
Coordinate and process initial credentialing, re-credentialing, enrollment, reenrollment, provider updates, and reappointments with commercial payers, government agencies, hospitals, and licensing entities.
Prepare, review, and submit credentialing applications accurately, ensuring completeness and compliance with payer, regulatory, accreditation, and organizational requirements.
Manage provider participation to support timely onboarding and uninterrupted network participation.
Maintain accurate provider records within credentialing systems, CAQH, payer portals, and related databases.
Obtain, verify, and maintain all required credentialing documentation, including licenses, certifications, board certifications, malpractice coverage, DEA registrations, and curriculum vitae.
Monitor licensure, certifications, insurance, and credential expiration dates to ensure continuous compliance and prevent lapses in participation.
Maintain audit-ready files and support accreditation surveys, delegated credentialing activities, and regulatory compliance reviews.
Serve as the primary credentialing contact for assigned providers, payers, hospitals, and internal departments.
Monitor application progress, confirm receipt and submission, and proactively follow up with external organizations to meet established turnaround times.
Collaborate with Provider Relations, Operations, Revenue Cycle, Billing, Compliance, and leadership to support provider onboarding and operational readiness.
Monitor the Credentialing team inbox to ensure timely response to provider, payer, and internal inquiries.
Research, investigate, and resolve credentialing, enrollment, provider participation, and demographic discrepancies to minimize delays.
Escalate credentialing issues, denials, missing documentation, provider non-responsiveness, and other risks impacting participation or reimbursement.
Support departmental initiatives and perform additional credentialing and provider data management responsibilities as assigned.
Maintain complete documentation of credentialing activities and communications within designated tracking systems.
Generate credentialing status reports, aging reports, productivity metrics, and other operational reports.
Prioritize a high-volume workload while meeting quality, productivity, and turnaround standards.
Participate in workflow improvements, departmental projects, and process enhancement initiatives to improve efficiency and service delivery.
Maintain current knowledge of credentialing standards, payer requirements, regulatory updates, and industry best practices.
Support organizational financial objectives by ensuring efficient credentialing operations that minimize reimbursement delays and provider participation interruptions.
Demonstrate fiscal responsibility through effective resource utilization and adherence to departmental budget and purchasing practices.
Education
High school diploma or GED required.
Minimum Relevant Experience
Minimum of 2 years of credentialing experience with a strong working knowledge of provider credentialing, enrollment, and recredentialing processes preferred.
Certifications/Licenses
Valid state driver's license required for travel to satellite offices and off-site meetings.
Must meet requirements of the organization's Driver Safety Operations and Motor Vehicle Records Check Policy.
Skills
Strong analytical, critical thinking, problem-solving, decision-making, planning, organizational, and time management skills.
High attention to detail with the ability to exercise sound independent judgment.
Excellent interpersonal skills, emotional intelligence, diplomacy, tact, conflict resolution, and professionalism.
Ability to maintain confidentiality and effectively manage sensitive information.
Strong verbal and written communication skills with the ability to communicate effectively across all levels of the organization.
Customer-focused with the ability to build collaborative relationships with providers, leadership, and cross-functional teams.
Demonstrated ability to prioritize multiple assignments and manage competing deadlines in a fast-paced, multi-site environment.
Self-motivated with the ability to work independently and effectively with limited supervision, including in a remote work environment when required.
Proficient in Microsoft Office Suite (Word, Excel, PowerPoint, and Outlook).
Working knowledge of credentialing software, provider databases, and credentialing workflows preferred.
Ability to adapt to changing priorities while maintaining quality, accuracy, and operational efficiency.
Travel: 0-25%
This position description reflects the general duties and responsibilities necessary to perform the principal functions of the job, as identified, and shall not be considered an exhaustive list of job responsibilities which may be inherent in the job. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. The responsibilities listed may be subject to change at any time and individuals may be asked to perform duties outside of their regular responsibilities to support the ongoing business operation needs.
Americans with Disabilities Act (ADA) Compliance
The essential functions described herein are intended to define the fundamental duties of the position and serve as the minimum requirements for performance. They do not represent an exhaustive list of all job duties that may be required. AON complies with the Americans with Disabilities Act (ADA) and applicable state and local laws. The Company will engage in an interactive process to evaluate and, where appropriate, provide reasonable accommodations to qualified individuals with disabilities, provided such accommodations do not impose an undue hardship on the business.
Physical Requirements
Sitting
Keyboard use
Minimal lifting
Long screen exposure
Cognitive Requirements
Time management
Effective written/verbal communication
Policy interpretation
Environmental Requirements
Home office setup
Minimal external environmental exposure
Accommodation Notes
Flexible hours
Ergonomic home office guidance
Communication software accessibility
Standard Work Days/Hours (specify weekends and call requirements) Monday to Friday 8:00 AM – 5:00 PM.
#LI-REMOTE
AON is an alliance of physicians and veteran healthcare leaders dedicated to ensuring the long-term success and viability of oncology diagnosis and treatment in community-based settings. We are the fastest growing network of community oncology practices delivering local access to exceptional cancer care.
We focus on:
- Enriching the patient experience by supporting the delivery of true value-based care through participation in the Enhancing Oncology Model and Principal Care Management programs and enhanced services, such as care coordination.
- Being 100% physician-led and governed by allowing for practice autonomy, where our partnership is collaborative and leveraged as a resource but, ultimately, what gets implemented in the practice is up to the physicians.
- Improving the lives of those who practice medicine with over 40 years of proven practice management expertise and the enablement of new revenue streams by accessing additional service lines such as clinical lab, pathology and oral oncolytic pharmacy.
The AON Difference
Practice diversification - A partnership with AON enables practice growth and access to new revenue streams through centralized ancillaries such as clinical lab, pathology and oral oncolytic pharmacy.
Economies of scale - Our ability to aggregate size and scale helps us to provide practices with the most competitive and attentive vendor services and drug pricing.
It’s a partnership - Practices deserve a partner that evolves to meet their needs and stays ahead of the industry changes. With a drive to innovate cancer care, we’re focused on the future of oncology and creating a network of industry experts to ensure accessible and patient-centered care continues to be at the forefront of healthcare.
