Job Brief
The Credentialing Coordinator plays a crucial role in the healthcare and professional services sectors by overseeing the credentialing process for healthcare providers and professionals. This position requires a detail-oriented individual with strong organizational skills and a deep understanding of credentialing requirements. The successful candidate will be responsible for ensuring compliance with regulatory standards, maintaining accurate records, and facilitating the onboarding of new providers. Ideal applicants will possess experience in human resources or credentialing with a focus on quality assurance and process improvement.
Responsibilities
- Coordinate the credentialing process for healthcare providers, ensuring timely and accurate application submissions.
- Verify qualifications, licenses, certifications, and employment history of candidates.
- Maintain and update credentialing databases and records management systems.
- Ensure compliance with state and federal regulations, as well as organizational policies.
- Communicate effectively with healthcare professionals, regulatory agencies, and internal stakeholders.
- Conduct regular audits of credentialing files to ensure accuracy and completeness.
- Assist in the development and implementation of credentialing policies and procedures.
- Provide support during the onboarding process for new hires and re-credentialing of existing providers.
Requirements
- Bachelor’s degree in Human Resources, Business Administration, or a related field.
- Proven experience in credentialing, human resources, or a similar administrative role.
- Strong knowledge of healthcare regulations, accreditation standards, and credentialing processes.
- Excellent organizational skills and attention to detail.
- Proficiency in Microsoft Office Suite and credentialing software.
- Effective communication and interpersonal skills.
- Ability to manage multiple tasks and meet deadlines in a fast-paced environment.
- Certification in credentialing (e.g., CPCS or CPMSM) is a plus.
Similar Job Titles
- Credentialing Specialist
- Credentialing Manager
- Provider Enrollment Coordinator
- Credentialing Officer
- Medical Staff Coordinator
- Compliance Coordinator
- Healthcare Recruiter
- Licensing Coordinator
