Senior Credentialing Coordinator
Core
Coordinates credentialing functions for physicians, mid-levels, dentists, and other providers, ensuring accurate and timely processing of initial and re-credentialing applications.
Role type
Senior operational credentialing coordinator
Builds
Credentialing files for presentation to committees, state agencies, and health plan audits
Domain
Healthcare administration / Managed Care
Required skills
Credentialing process management, analytical and critical thinking, liaison communication, file preparation, regulatory compliance, audit support
Preferred skills
Certified Provider Credentialing Specialist (CPCS), associate's degree or college coursework
Technologies
Credentialing software systems, health plan portals
Responsibilities
Process initial and re-credentialing applications for various providers, prepare credentialing files for committee and agency review, act as liaison between credentialing staff and administration, support Credentialing Coordinators in gaining skills
Seniority
Senior, hands-on IC