Medical Credentialing Coordinator

Essential Duties & Responsibilities:

• Oversee credentialing and re-credentialing processes, ensuring providers are fully qualified before providing care.
• Maintain accurate credentialing files and systems to safeguard compliance and confidentiality.

Compliance & Standards:

• Stay current on requirements from CMS, Joint Commission, and other bodies, tracking all licensure and certification deadlines.
• Ensure the company and its providers adhere to all relevant healthcare laws and regulations.

Collaboration & Communication:

• Serve as the primary contact for providers, accreditation organizations, and external vendors on credentialing matters.
• Partner with internal departments like HR to keep processes aligned and provide regular status updates to leadership.

Qualifications:

• Requires a High School Diploma or GED, with a Bachelor’s degree preferred and 2–3 years of credentialing or healthcare administration experience.
• Must possess strong organizational skills, knowledge of credentialing software, and the ability to balance multiple priorities effectively.