Credentialing Coordinator

Job Summary

A company is looking for a Credentialing Coordinator (Remote).

Key Responsibilities

• Ensure timely completion of credentialing applications and maintain an accurate physician database
• Assist in the training of new team members and perform file audits for credentialing files
• Communicate with applicants and gather required verifications to complete the credentialing process

Required Qualifications

• Two years of post-high school education, training, or experience; an associate degree in health administration is preferred
• One year of work experience in a healthcare environment with knowledge of hospital settings and managed care organizations
• Understanding of NCQA and TJC standards, NPDB guidelines, and general licensing regulations
• Experience with database organization and management, and proficiency in Windows-based word processing software
• Current CPCS and/or CPMSM eligibility is preferred but not required