Credentialing Coordinator

Job Summary

Completing day-to-day credentialing and re-credentialing for all providers, the full-time Credentialing Coordinator will ensure compliance with managed care criteria, process provider data updates, and assist in audits while working remotely.

Key responsibilities

• Manage the credentialing and re-credentialing process for all providers, ensuring compliance with managed care criteria
• Complete state-specific credentialing verifications and submit CAQH applications to non-delegated payers
• Process provider data updates and follow up with payers to ensure timely and accurate loading of new providers

Required qualifications

• High school diploma equivalency or 1 year of applicable cumulative job-specific experience
• Professional licensure or certification may substitute for education or experience