Credentialing Coordinator

Job Summary

A company is looking for a Credentialing Coordinator.

Key Responsibilities

• Coordinate credentialing processes for medical staff and allied health professionals to meet legal and regulatory requirements
• Verify and collect documentation to ensure providers meet eligibility thresholds and report any quality of care issues
• Maintain provider files and records, ensuring accuracy and compliance with internal and external policies

Required Qualifications

• High School diploma or GED required; Bachelor's degree preferred
• Minimum of 3 years' experience in a healthcare setting required; credentialing experience preferred
• Certified Professional Medical Services Management (CPMSM) and/or Certified Provider Credentialing Specialist (CPCS) preferred
• Knowledge of Medical Staff Bylaws and regulatory guidelines such as The Joint Commission and CMS
• Ability to maintain confidentiality and handle sensitive information with integrity