Credentialing Coordinator

Job Summary

A company is looking for a Credentialing Coordinator IV.

Key Responsibilities

• Conducts and maintains the credentialing, privileging, and primary source verification process for medical and allied health staff
• Monitors the initial and reappointment process for medical staff, ensuring compliance with regulatory standards and timely processing
• Collaborates with various departments to ensure adherence to policies and standards, and communicates status updates regarding applicant files and expiring credentials

Required Qualifications

• Associate's degree in business or healthcare-related field and 2 years of medical administrative experience required
• Equivalent combination of education and experience may be considered
• 1 year of medical credentialing and/or payer enrollment experience preferred
• Knowledge of Joint Commission, CMS, and NCQA regulations related to medical staff services preferred
• Certified Medical Professional Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS) preferred upon hire