Provider Enrollment Coordinator II

A company is looking for a Provider Enrollment Coordinator II, requiring credentialing experience.

Key Responsibilities

Ensure credentialing activities comply with URAC, NCQA, state, and federal regulations

Perform Primary Source Verification (PSV) and Secondary Source Verification (SSV) for providers and organizations

Coordinate with Provider Relations to complete and obtain missing components of applications

Required Qualifications, Training, and Education

High School Diploma or equivalent is required

Minimum of one (1) year of credentialing experience / knowledge is required

NAMSS certification in credentialing is preferred

Intermediate computer skills and proficiency in Microsoft Word and Excel

Knowledge of URAC and NCQA accreditation credentialing standards