Credentialing CoordinatorCoreTechs Inc. • Antioch, CA, United States
Credentialing Coordinator
CoreTechs Inc. • Antioch, CA, United States
22 hours ago
Job type
- Full-time
Job descriptionThe Credentialing Coordinator III is responsible for performing advanced credentialing and recredentialing functions in alignment with the company’s standards, federal and state regulatory requirements, and health plan credentialing criteria. This position plays a key role in maintaining the integrity and accuracy of provider data, ensuring compliance, and supporting the timely onboarding and privileging of medical staff and allied health professionals This role requires extensive hands-on experience with medical staff credentialing processes, including verification of licensure, board certification, malpractice coverage, and professional references, as well as familiarity with Echo credentialing software Administer and oversee all aspects of credentialing, recredentialing, and privileging for physicians, allied health professionals, and contracted providers Perform primary source verification (PSV) of licensure, board certifications, malpractice claims history, DEA / CDS registrations, and other required credentials Maintain, audit, and update provider data in the Echo credentialing system, ensuring accuracy and timeliness of records Support Medical Staff leadership and committees by preparing and distributing credentialing reports and ensuring all required documentation is complete before review Ensure compliance with regulatory agencies (e.g., Joint Commission, CMS, NCQA) and the company’s internal policies Liaise with external health plans, auditors, and regulatory bodies during credentialing audits and reviews Collaborate closely with physician leaders and department managers to resolve credentialing discrepancies or delays Participate in continuous process improvement initiatives to streamline credentialing workflows and reduce turnaround time Maintain confidentiality of all provider and organizational information in accordance with HIPAA and the company policy Associate’s degree or equivalent experience in healthcare administration, business, or related field Minimum of 3 years of recent, hands-on experience in medical staff credentialing or provider enrollment within a hospital or health system setting Echo Credentialing Software proficiency is required Demonstrated experience using Microsoft Teams and Microsoft Office Suite (Word, Excel, Outlook) Deep understanding of credentialing standards, bylaws, and accreditation requirements (Joint Commission, CMS, NCQA) Working knowledge of medical staff office operations and governance processes Exceptional attention to detail and data accuracy Strong organizational, analytical, and communication skills Ability to work independently under tight deadlines in a fast-paced environment Professional demeanor and ability to interact effectively with physicians and administrative leaders Certified Provider Credentialing Specialist (CPCS) certification through NAMSS preferred Experience supporting medical staff committees or working directly with physician leadership in a credentialing office environment This position is 100% on-site at Sutter Delta Medical Center The role does not involve direct patient interaction Temporary assignment expected to last approximately 3 months, with potential for extension based on department needs
Credentialing Coordinator
Antioch, CA 94509 – ONSITE
- Shift : Day 5x8-Hour (08 : 00 - 17 : 00)
- Assignment Type : Contract (Approx. 3 months)
- Work Schedule : Full-time, On-site
- Department : Medical Staff Services
- Reports To : Manager, Medical Staff Services
Note : MUST be legally authorized to work in the United States.
POSITION SUMMARY :
ESSENTIAL DUTIES AND RESPONSIBILITIES :
REQUIRED QUALIFICATIONS :
Education :
Experience :
Knowledge :
Skills :
PREFERRED QUALIFICATIONS :
WORK CONDITIONS :
We are an equal opportunity employer, and we are an organization that values diversity. We welcome applications from all qualified candidates, including minorities and persons with disabilities.
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Credentialing Coordinator • Antioch, CA, United States
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