Credentialing Coordinator

Job Summary

A company is looking for a Credentialing Coordinator.

Key Responsibilities

• Process initial and re-credentialing applications for healthcare providers in compliance with guidelines
• Monitor and manage expired credentials, ensuring timely updates and reporting to leadership
• Support payer enrollment processes and maintain accurate provider files and documentation

Required Qualifications

• High School Diploma or equivalent; Associate's Degree preferred
• Minimum of 3 years' experience in the healthcare industry with a focus on credentialing
• Understanding of credentialing practices and compliance monitoring
• Proficient in Microsoft Office applications, particularly Excel and Outlook
• Knowledge of Joint Commission, NCQA, and URAC credentialing standards