Credentialing Coordinator

A company is looking for a Credentialing Coordinator, Remote.

Key Responsibilities

Ensure timely completion of credentialing applications by assisting applicants with required documentation

Maintain an accurate physician database and perform file audits to provide feedback on credentialing files

Communicate with applicants and relevant stakeholders to fulfill credentialing requirements within specified timeframes

Required Qualifications

Two years of post-high school education, training, or experience; associate degree in health administration preferred

One year of work experience in a healthcare environment with knowledge of hospital settings and managed care organizations

Understanding of NCQA and TJC standards, NPDB guidelines, and general licensing regulations

Experience with database management and proficiency in Windows-based software

CPCS and / or CPMSM eligibility preferred but not required