Job Summary
A company is looking for a Credentialing Coordinator to manage the onboarding of healthcare providers.
Key Responsibilities
- Manage the full credentialing and re-credentialing process for healthcare providers, ensuring compliance with guidelines and timelines
- Monitor licensure expirations, maintain database accuracy, and provide compliance status reports to leadership
- Conduct compliance monitoring, process malpractice insurance verifications, and support payer enrollment
Required Qualifications
- Deep understanding of credentialing and re-credentialing practices for medical professionals
- Proficiency in quantitative analysis
- Knowledge of Joint Commission Accreditation, NCQA, and URAC credentialing standards
- Minimum of 3 years of experience in healthcare credentialing
- Proficiency in Microsoft Office Suite (Outlook, Word, Excel)
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