Credentialing Coordinator

Job Summary

Working remotely in a full-time capacity, the Credentialing Coordinator will manage the credentialing, privileging, and primary source verification processes for medical and allied health professionals, ensuring compliance with regulatory standards and collaborating with various departments to maintain quality and safety.

Key responsibilities:

• Analyze applications and supporting documents for accuracy, ensuring compliance with accreditation standards and performing thorough background investigations
• Monitor the initial and reappointment processes for medical staff, ensuring timely processing and compliance with regulatory requirements
• Collaborate with key stakeholders to communicate application statuses and coordinate efforts to obtain necessary documentation for credentialing

Required qualifications:

• Associate's degree in business or healthcare-related field and 2 years of medical administrative experience required
• 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
• Proficiency in MS Office applications required
• Certified Medical Professional Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS) preferred upon hire