Credentialing Coordinator

Job Summary

A company is looking for a Credentialing Coordinator.

Key Responsibilities

• Coordinate medical staff credentialing and privileging processes to meet legal and regulatory requirements
• Verify and collect documents to ensure providers meet eligibility thresholds and report any quality of care issues
• Maintain provider records and create accurate credentialing reports for review by credentialing committees

Required Qualifications, Training, and Education

• High school diploma or GED required; Bachelor's Degree preferred
• Minimum of 2 years' experience in a healthcare setting required; experience in medical staff services preferred
• Certified Professional Medical Services Management (CPMSM) and/or Certified Provider Credentialing Specialist (CPCS) preferred
• Knowledge of Medical Staff Bylaws and relevant healthcare regulations
• Ability to maintain confidentiality and handle sensitive information with integrity