Medical Credentialing Coordinator
2 days ago
About the Company: Our client is a leading non-profit organization dedicated to providing social support services to underserved communities. They offer coordinated healthcare and supportive services to help individuals, families, and communities achieve wellness and live healthy, productive lives.
About the Role: We are seeking an experienced Medical Credentialing Coordinator to join our team. As a Medical Credentialing Coordinator, you will be responsible for ensuring that individual providers' CAQH, PECOS, and NPPES database files are updated timely according to CMS Medicare/Medicaid and Managed Care Organizations regulations.
Your Responsibilities:
- Work with individual providers to ensure their CAQH, PECOS, and NPPES database files are updated timely.
- Ensure contracted Managed Care Organizations' portals are up to date, including facilities and individual providers' profiles.
- Provide updated lists of credentialed individual providers and facilities.
- Complete primary source verification and prepare files for committee review.
- Ensure all credentialing and recredentialing reports are completed timely for review and submission.
Requirements:
- Prior experience with credentialing within a sector of healthcare.
About You: To be successful in this role, you should have excellent communication skills, attention to detail, and the ability to work independently. Your salary will be around $60,000 - $80,000 per year, depending on your experience and qualifications. This role offers a great opportunity to work for a leading non-profit organization making a positive impact in the community.
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