Credentialing Coordinator III

Job Summary

A company is looking for a Credentialing Coordinator III to manage the credentialing and privileging processes for medical staff.

Key Responsibilities

• Evaluate practitioner eligibility and ensure compliance with accreditation and regulatory standards
• Monitor the credentialing process and maintain communication with stakeholders regarding application statuses
• Collaborate with various departments to ensure adherence to policies and assist in identifying areas for departmental improvement

Required Qualifications

• Associate's degree in business or healthcare related field and 2 years of medical administrative experience
• Equivalent combination of education and experience may be considered
• 1 year of medical credentialing and/or payer enrollment experience preferred
• Knowledge of Joint Commission, CMS, and NCQA Regulations preferred
• Certified Medical Professional Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS) preferred upon hire