Credentialing Coordinator

Job Summary

A company is looking for a Credentialing Coordinator.

Key Responsibilities

• Manage and complete all credentialing functions
• Ensure compliance with standards, federal/state requirements, and health plan credentialing requirements
• Maintain accurate physician and practitioner data across multiple databases and communicate necessary changes

Required Qualifications

• Minimum of an Associate Degree
• Certification as a Credentialing Specialist or similar designation is required
• Preferably 2 or more years of experience with credentialing in managed care plans
• Strong familiarity with NCQA credentialing standards and accreditation process
• Proficient in MS Office Suite and experienced with credentialing software