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Credentialing Coordinator

2 months ago


New York, New York, United States Global Channel Management, Inc Full time

Job Summary:

Credentialing Coordinator - Healthcare Provider Specialist at Global Channel Management, Inc.

About the Role:

We are seeking a highly skilled Credentialing Coordinator to join our team. As a Credentialing Coordinator, you will be responsible for ensuring the accuracy and completeness of provider information, as well as maintaining compliance with regulatory requirements.

Key Responsibilities:

  • Provider Management: Terminate providers who do not comply with credentialing standards.
  • Communication: Prepare and execute outbound communications related to credentialing events.
  • Research and Analysis: Research discrepancies related to provider information.
  • Support and Coordination: Support the preparation of weekly rosters to present providers for committee approvals/denials.

Requirements:

  • Education: High School Diploma
  • Experience: 2-3 years of business experience with healthcare provider credentialing
  • Skills: Proficient in Microsoft Office Products (Word, Excel, Access), Knowledge of credentialing/provider industry, Demonstrates sense of urgency, Experience with operating systems such as EDW/Business Objects

Working Conditions:

This is a hybrid role, working Tuesdays and Wednesdays.