Job Brief
We are looking for aCredentialing Coordinatorto join our team and oversee administrative tasks dealing with our health facility’s credentialing.
Credentialing Coordinator responsibilities include maintaining and verifying files and tracking the expiration of certifications throughout the organization.
Ultimately, you will work with different departments across our organization to ensure staff members have the necessary accreditations needed throughout the year.
Responsibilities
- Processing initial credentialing and re-credentialing applications
- Screening practitioners’ applications and supporting documentation to determine eligibility
- Collecting information from the National Practitioner Data Bank (NPDB), the applicant, and their malpractice insurer, and other relevant sources
- Identify discrepancies in information and conduct follow-ups
- Present applications to the facility’s Credentialing Committee
- Assist customers with credentialing inquiries
- Respond to health plan provider inquiries
- Capture primary source documentation in computer databases
- Ensure data is backed up
- Follow compliance laws, regulations, procedures, and policies
Requirements
- Proven work experience as a Credentialing Coordinator or similar role
- Excellent verbal and written communication skills
- Expertise with Microsoft Office Word and Excel
- Proficient touch-typing skills
- Ability to focus for extended periods
- Relevant training and/or certifications as a Credentialing Coordinator