Credentialing Coordinator

Job Summary

A company is looking for a Credentialing Coordinator.

Key Responsibilities

• Manage and complete all credentialing functions
• Ensure compliance with standards, federal/state requirements, and health plan credentialing requirements
• Maintain accurate physician and practitioner data on multiple databases and communicate changes as needed

Required Qualifications and Education

• Minimum of an Associate Degree
• Certification as a Credentialing Specialist or Certified Provider Credentialing Specialist (CPCS or CPMSM) required
• Preferably 2 or more years' experience with credentialing in managed care plans or as a delegated entity
• Strong familiarity with NCQA credentialing standards and accreditation process
• Proficient in MS Office Suite and experienced with credentialing software