Credentialing Coordinator

Job Summary

A company is looking for a Credentialing & Enrollment Coordinator.

Key Responsibilities

• Processes and submits applications and rosters accurately and on time
• Maintains and audits credentialing software and data integrity
• Acts as the primary contact for enrollment issues and health plan communications

Required Qualifications

• High School Diploma or GED required; Bachelor's Degree preferred
• Certification by National Association Medical Staff Services or Certified Provider Credentialing Specialists preferred
• Previous experience as a Credentialing Coordinator or Provider Enrollment preferred
• Knowledge of NCQA standards and guidelines