Credentialing Coordinator II (Eastern United States resident)
Core
Plans, coordinates, and oversees provider credentialing procedures and processes in compliance with regulatory requirements, conducting background investigations on physicians and other providers.
Role type
Credentialing Coordinator
Builds
Provider affiliation and credentialing programs
Domain
Healthcare administration / Medical Staff Services
Deliverable
client delivery
Required skills
Primary source verification, background investigation, regulatory compliance, database management, public relations, file organization, audit preparation
Preferred skills
Echo or Credential Stream experience
Responsibilities
Review and analyze physician applications and credentialing documents; maintain tracking of drug screening, background checks, and child abuse clearance; prepare files monthly for Credentials Committee review; maintain provider database for reports and directory extracts; conduct special follow-up investigations on adverse information; establish communication channels with external sources for credentialing information.
Seniority
Mid-level, hands-on IC