Credentialing Coordinator

A company is looking for a Credentialing Coordinator IV.

Key Responsibilities

Conducts and maintains the credentialing, privileging, and primary source verification process for medical and allied health staff

Monitors the initial and reappointment process for medical staff, ensuring compliance with regulatory standards and timely processing

Collaborates with various departments to ensure adherence to policies and standards, and communicates status updates regarding applicant files and expiring credentials

Required Qualifications

Associate's degree in business or healthcare-related field and 2 years of medical administrative experience required

Equivalent combination of education and experience may be considered

1 year of medical credentialing and / or payer enrollment experience preferred

Knowledge of Joint Commission, CMS, and NCQA regulations related to medical staff services preferred

Certified Medical Professional Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS) preferred upon hire