Credentialing Coordinator

Job Summary

A company is looking for a Credentialing Coordinator for a 2-month contract position.

Key Responsibilities

• Manage the credentialing, re-credentialing, and privileging processes for medical providers
• Maintain accurate provider data and ensure timely renewal of licenses and certifications
• Review and monitor provider credentialing applications and assist with payer audits

Required Qualifications

• High School Diploma or GED with 3 years of medical staff credentialing experience, or an Associate's Degree with similar experience
• Experience with demonstrated software databases for generating correspondence and activity tracking
• Familiarity with legal, state, TJC, and NCQA guidelines for medical staff compliance
• Certified Provider Credentialing Specialist (CPCS) preferred
• 3 years of experience performing data collection or analysis using complex database systems