Credentialing Coordinator

Job Summary

To support healthcare compliance, the full-time Credentialing Coordinator will manage the processing of credentialing applications, conduct primary source verifications, and ensure adherence to NCQA and regulatory standards in a remote setting.

Key responsibilities

• Responsible for timely processing of initial credentialing applications for completeness
• Independently review and assess provider applications, identifying credentialing concerns and requesting follow-up information as needed
• Complete primary source verification and maintain the quality and integrity of provider files according to internal policies

Required qualifications

• Experience with MD-Staff Credentialing Database preferred
• Working knowledge of NCQA Standards and Guidelines in Credentialing/Recredentialing
• Intermediate skills in Microsoft Excel, Outlook, and Word
• Strong organizational skills, including time management for managing a high-volume work queue
• Knowledge of regulatory and compliance requirements related to credentialing