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Title
Text copied to clipboard!Credentialing Coordinator
Description
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We are looking for a detail-oriented Credentialing Coordinator to manage and oversee the credentialing processes of our healthcare providers. The Credentialing Coordinator will be responsible for maintaining active status for all providers by managing initial credentialing and re-credentialing processes, ensuring timely renewals, and maintaining up-to-date provider information in our database. The ideal candidate will have a strong understanding of medical credentialing procedures, excellent organizational skills, and the ability to work independently. This role requires a high level of attention to detail, as well as excellent communication and interpersonal skills.
Responsibilities
Text copied to clipboard!- Manage initial credentialing and re-credentialing processes for healthcare providers.
- Ensure timely renewals of licenses and certifications.
- Maintain up-to-date provider information in the database.
- Coordinate with providers to gather necessary documentation and information.
- Verify provider credentials and ensure they meet regulatory standards.
- Maintain confidentiality of provider information.
- Communicate with healthcare providers and staff regarding credentialing processes and status.
- Monitor and ensure compliance with state and federal regulations.
- Prepare and maintain accurate reports and records.
- Resolve any issues related to credentialing processes.
Requirements
Text copied to clipboard!- Bachelor's degree in healthcare administration or related field.
- Previous experience in medical credentialing is required.
- Knowledge of medical terminology and healthcare regulations.
- Strong organizational and multitasking skills.
- Excellent communication and interpersonal skills.
- High level of attention to detail.
- Ability to work independently and meet deadlines.
- Proficiency in Microsoft Office Suite and database management.
- Certified Provider Credentialing Specialist (CPCS) certification is preferred.
- Understanding of National Committee for Quality Assurance (NCQA) standards.
Potential interview questions
Text copied to clipboard!- Can you describe your experience with medical credentialing processes?
- How do you ensure accuracy and attention to detail in your work?
- Can you describe a time when you had to resolve an issue related to credentialing?
- How do you handle confidential information?
- How do you manage your time and prioritize tasks when working with multiple providers?