Credentialing Coordinator

Job is Expired
Location: Remote
Compensation: To Be Discussed
Reviewed: Wed, Mar 12, 2025
Credentialing Payer Credentialing Recredentialing NCQA Regulations

Job Summary

A company is looking for a Credentialing Coordinator - HPN.

Key Responsibilities
  • Coordinate provider credentialing by tracking applications and monitoring information requested from providers
  • Perform primary source verification of provider information in compliance with NCQA and CMS standards
  • Review and analyze credentialing applications and prepare correspondence for additional information requests
Required Qualifications
  • High School diploma or equivalent with one year of administrative experience, or an Associate's, Bachelor's, or Master's degree in lieu of experience
  • Knowledge of NCQA and CMS regulations regarding provider credentialing is preferred
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