Job Summary
A company is looking for a Credentialing Coordinator.
Key Responsibilities
- Assist applicants in submitting necessary documentation for initial and re-credentialing applications
- Maintain an accurate physician database and perform file audits
- Communicate with applicants and RHMs to complete credentialing requirements within specified timeframes
Required Qualifications
- Two years of post-high school education, training, or experience; an associate degree in health administration is preferred
- One year of work experience in a healthcare environment with knowledge of hospital settings and managed care organizations
- Understanding of NCQA and TJC standards, NPDB guidelines, and licensing regulations
- Experience with database organization and management; proficiency in Windows-based software
- Current CPCS and/or CPMSM eligibility is preferred but not required
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