Credentialing Coordinator job description

Credentialing Coordinator job brief

Our healthcare facility is seeking a highly organized and detail-oriented Credentialing Coordinator to manage the processes of credentialing and privileging for our medical staff. The ideal candidate will be responsible for ensuring that our healthcare providers are properly credentialed, licensed, and privileged to practice medicine in accordance with local, state, and federal regulations.

Credentialing Coordinator responsibilities

• Maintain an up-to-date provider database to ensure that all healthcare providers are licensed, insured, and properly credentialed according to regulatory guidelines.
• Process initial and reappointment credentialing applications, including verifying healthcare provider information and licensing, conducting background checks, and ensuring that all regulatory requirements are met.
• Maintain accurate physician and provider privileging files and ensure that all required approvals are received before granting clinical privileges.
• Coordinate with medical staff personnel to ensure that contract providers and allied health professionals are properly licensed and credentialed.
• Track provider certifications and licensure expiration dates, and ensure that all healthcare providers maintain current credentials and are in compliance with regulatory standards.
• Communicate with healthcare providers and external agencies regarding licensing and credentialing requirements, and ensure ongoing compliance with regulatory guidelines.

Requirements

• Bachelor's degree in healthcare administration, business, or related field
• Minimum of 2 years experience in credentialing at a healthcare facility
• Experience with state, federal, and accreditation entity regulations and requirements related to credentialing and privileging
• Knowledge of credentialing software and databases
• Strong organizational and analytical skills, with attention to detail
• Excellent verbal and written communication skills
• Ability to prioritize tasks and work independently
• Comfortable working in a fast-paced healthcare environment

This Credentialing Coordinator will be responsible for ensuring that our healthcare providers are properly credentialed and licensed according to regulatory requirements. The successful candidate will have exceptional organizational and analytical skills, experience with state and federal regulations, and be able to work independently in a fast-paced healthcare environment. They will also have excellent communication skills and be able to prioritize tasks. If you are a collaborative individual with experience working in healthcare and possess the necessary qualifications and credentials, we encourage you to apply for this position.