Credentialing Specialist

4 weeks ago


Silver Spring, Maryland, United States Community Clinic Full time
Credentialing Coordinator Job Summary

The Credentialing Coordinator will be responsible for credentialing new and established healthcare providers, maintaining provider information, and ensuring compliance with regulatory guidelines.

Key Responsibilities:
  • Maintain provider database to ensure all healthcare providers are licensed and properly credentialed.
  • Process initial and reappointment credentialing applications, verifying healthcare provider information and licensing.
  • Coordinate with medical staff personnel to ensure contract providers and allied health professionals are properly licensed and credentialed.
  • Track provider certifications, licensure expiration dates, and other expirable documentation.
Requirements:
  • High school diploma or equivalent required.
  • Experience with state, federal, and accreditation entity regulations and requirements related to credentialing and privileges.
  • Certification in Medical Staff Services (CMSS) or Certified Provider Credentialing Specialist (CPCS) preferred.
  • Current knowledge of provider enrollment processes with Medicare, Medicaid, and commercial insurances.
  • Minimum of 3 years' experience in credentialing and provider enrollment at a healthcare facility.
Why Work at CCI?
  • Extensive benefits plan.
  • Generous PTO Plan.
  • 403B Retirement Plan + Employer match up to 4%.
  • Tuition Reimbursement.
  • Continuing education assistance.


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