Credentialing Coordinator

Job Overview
The Credentialing Coordinator plays a vital role in ensuring that healthcare providers meet the necessary qualifications and standards to deliver quality care. This position involves managing the credentialing process for medical staff, verifying credentials, and maintaining compliance with regulatory requirements. The ideal candidate will have a strong understanding of medical office operations, medical terminology, and managed care systems.
Responsibilities
- Oversee the credentialing process for new and existing healthcare providers, ensuring all documentation is complete and accurate.
- Verify licenses, certifications, and professional credentials through primary source verification.
- Maintain up-to-date records of provider credentials and monitor expiration dates for renewals.
- Collaborate with various departments to ensure compliance with internal standards and external regulations.
- Prepare reports on credentialing activities for management review.
- Respond to inquiries regarding credentialing status and provide support to healthcare providers during the application process.
- Stay informed about changes in regulations and standards related to credentialing in the healthcare industry.
Skills
- Strong knowledge of medical office operations and standards.
- Familiarity with medical terminology and managed care processes.
- Excellent organizational skills with attention to detail.
- Ability to manage multiple tasks effectively while meeting deadlines.
- Strong communication skills, both written and verbal, for interacting with healthcare providers and internal teams.
- Proficiency in using credentialing software and Microsoft Office Suite.
This position is essential for maintaining high-quality patient care through effective provider credentialing. If you are detail-oriented, organized, and passionate about supporting healthcare professionals, we encourage you to apply.
Job Type: Full-time
Benefits:
Health insurance
Life insurance
Paid time off
Schedule:
Monday to Friday
Work Location: In person