Credentialing Coordinator

Job Summary

A company is looking for a Credentialing Coordinator, Remote.

Key Responsibilities

• Ensure timely completion of initial and re-credentialing applications by assisting applicants with necessary documentation
• Maintain an accurate physician database and assist in training new team members
• Communicate with applicants and RHMs to meet credentialing criteria within specified timeframes

Required Qualifications

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