Provider Credentialing Coordinator

3 weeks ago


New York, New York, United States ProKatchers LLC Full time

Job Title: Credentialing Specialist

Company: ProKatchers LLC

Role Overview:

The Credentialing Specialist plays a crucial role in managing the credentialing process for healthcare providers. This position is responsible for ensuring that all providers meet the necessary qualifications and maintain compliance with regulatory standards.

Key Responsibilities:

  1. Credentialing Management: Oversee all phases of provider credentialing and re-credentialing to ensure adherence to established protocols.
  2. License Management: Monitor and facilitate the renewal of physician licenses to prevent lapses in certification.
  3. Verification Processes: Conduct thorough primary source verification for both new and existing providers, ensuring all due diligence is met.
  4. Documentation Oversight: Maintain and organize physician files, ensuring all records are updated and accurately reflect the current status.
  5. Database Utilization: Leverage database tools and reporting functions to track credentialing progress and maintain accurate records.
  6. Standards Compliance: Ensure consistency in database entries to uphold accurate and uniform credentialing processes.
  7. Team Support: Provide credentialing support to colleagues within the credentialing team as needed.

Language Proficiency:

English (Speak, Read, Write)

Educational Requirements:

Bachelor's Degree



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