Credentialing Coordinator II

Job Summary

A company is looking for a Credentialing Coordinator II, Remote.

Key Responsibilities

• Ensure timely completion of initial and re-credentialing applications by assisting applicants with necessary documentation
• Maintain an accurate physician database and perform file audits, providing feedback on credentialing files
• Facilitate communication with applicants and RHMs to meet credentialing criteria within specified timeframes

Required Qualifications

• Two years of post-high school education, training, or experience; an associate degree in health administration or a related field is preferred
• One year of work experience in a healthcare environment with knowledge of hospital settings and managed care organizations
• Understanding of NCQA and TJC standards, NPDB guidelines, and general licensing regulations
• Experience with database organization and management, and proficiency in Windows-based word processing software
• Current CPCS and/or CPMSM eligibility is preferred but not required