Credentialing Provider Enrollment Coordinator

Job Summary

A company is looking for a Provider Enrollment Coordinator II (Credentialling).

Key Responsibilities

• Ensure compliance of credentialing activities with URAC, NCQA, state and federal regulations
• Perform Primary Source Verification (PSV) and Secondary Source Verification (SSV) for providers and organizations
• Coordinate with internal teams to complete and obtain all necessary components of credentialing applications

Required Qualifications

• High School Diploma or equivalent is required
• Minimum of one (1) year credentialing experience or knowledge is required
• NAMSS certification in credentialing is preferred
• Intermediate computer skills, including proficiency in Microsoft Word and Excel
• Knowledge of URAC and NCQA accreditation credentialing standards