Credentialing Coordinator

Company Description

Our client is a leading medical practice dedicated to providing exceptional care and treatment to patients. With a team of specialized surgeons, physical therapists, and healthcare professionals, this company offers a comprehensive range of services, including surgical procedures, rehabilitation, and preventive care. Committed to excellence and patient-centered care, the practice focuses on improving mobility, reducing pain, and enhancing the overall quality of life for individuals of all ages.

Pay

$55,000 - $60,000

Role Description

As a Credentialing Coordinator, your role entails meticulously organizing, maintaining, and validating all facets of the credentialing process for Medical Doctors and Nurse Practitioners. This includes monitoring certification expirations, ensuring files are current, and providing support to health plan providers and staff with any inquiries they may have.

Requirements

Experience with PECOS - Medicare Enrollment

BCBS knowledge to credential providers

CAQH knowledge

Medicaid payer enrollment knowledge

Experienced in enrolling providers with commercial plans such as MPCN, Aetna,etc.

Experienced in completing paperwork for hospital privileges

Qualifications

High school diploma, GED, or suitable equivalent

3+ years of credentialing experience with hospital medical staff

Knowledge of medical credentialing and privileged procedures and standards

Excellent verbal and written communication skills

Proficient with Microsoft Office, Word and Excel

Proficient touch-typing skills

Ability to focus for extended periods

If you review the job description and requirements above and your skills are a match, click the APPLY button or visit You can also submit a resume at If you have any questions, contact Melinda at .

#248753