Credentialing Coordinator

1 week ago

Woodland Park, United States Coda Staffing Full time
Job DescriptionJob Description

Job description

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.

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