Credentialing Coordinator

As a Credentialing Assistant, you'll work closely with the Credentialing Specialist. By verifying and auditing credentials, you'll be part of a team devoted to upholding standards of excellence and providing the highest level of care to patients.

Responsibilities & Duties

Manage the credentialing process for healthcare providers, including physicians, nurses, and other licensed professionals.

Verify the accuracy and completeness of provider applications, ensuring that all required documents are submitted.

Conduct thorough background checks, license verifications, and references to ensure compliance with regulatory standards.

Coordinate with internal departments and external agencies to obtain and update relevant provider information.

Maintain accurate and up-to-date electronic and hard copy files of all credentialing documentation.

Communicate with providers to address any discrepancies or missing information.

Monitor expiring licenses and credentials, proactively initiating the renewal process to avoid any disruption in services.

Stay up-to-date with industry regulations and requirements, ensuring compliance at all times.

Assist in preparing for and participating in audits and regulatory reviews.

Provide support and guidance to internal staff regarding credentialing and privileging processes.

Qualifications & Skills

Bachelor's degree in healthcare administration, business, or a related field preferred.

Minimum of 1-2 years of experience in credentialing or provider enrollment.

Proficient in using credentialing software and databases for data entry and maintenance.

Excellent attention to detail and ability to work with complex documents.

Strong analytical and problem-solving skills.

Exceptional organizational and time management abilities.

Effective communication and interpersonal skills.

Ability to work independently and collaboratively within a team.