Credentialing Coordinator
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
COMPLETE JOB DESCRIPTION
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