Credentialing Coordinator

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