Credentialing Coordinator III

Job Summary

Responsible for completing credentialing functions, the full-time Credentialing Coordinator III will ensure program integrity and compliance with standards while maintaining relationships with health plan auditors and physician leaders, working remotely from within California.

Key responsibilities:

• Complete credentialing functions and ensure compliance with federal/state requirements and health plan standards
• Maintain accurate databases of physician information, including licensure and board certification
• Audit Credentialing Verification Organization's files to verify primary source information for physicians and providers

Required qualifications:

• High School Diploma or General Education Diploma (GED)
• At least 2 years of recent relevant experience in medical provider credentialing
• Knowledge of credentialing and accreditation principles and processes
• Proficiency in MS Word, MS Excel, and MS Access
• Ability to manage confidential information and utilize independent judgment