Credentialing Coordinator

The Credentialing Coordinator is responsible for processing and completing the credentialing and recredentialing functions of all providers in accordance with NCQA, state, and federal requirements.

Principal Accountabilities:

· Validates completeness of provider applications prior to processing.

· Conducts primary source verification for all credentialing and recredentialing applications.

· Monitors the progress and completion of all site visits by the provider network team to ensure completion within established timeframe.

· Accurately enters all critical data elements of provider applications into Credentialing system.

· Responds to phone inquiries received into the Credentialing phone queue from internal and external clients.

· Completes projects as assigned.

Requirements:

· 0-4 years of prior provider credentialing experience based on a combination of education and experience.

· High School/GED with 4 years of experience.

· Associate’s Degree with 1-2 years of experience.

· Bachelor’s Degree with 0-1 years of experience.

· Intermediate knowledge of PC applications, including Microsoft Office.

· Strong verbal and written communication skills.

· Strong organizational skills required.

· Ability to perform in a metrics-driven environment.

If you are not interested in looking at new opportunities at this time I fully understand. I would in that case be appreciative of any referrals you could provide from your network of friends and colleagues in the industry. We do offer a referral bonus that I’d be happy to extend to you if they turn out to be a great fit for my client.

· 0-4 years of prior provider credentialing experience based on a combination of education and experience.

· High School/GED with 4 years of experience.

· Associate’s Degree with 1-2 years of experience.

· Bachelor’s Degree with 0-1 years of experience.

· Intermediate knowledge of PC applications, including Microsoft Office.

· Strong verbal and written communication skills.

· Strong organizational skills required.

· Ability to perform in a metrics-driven environment.

Kind Regards

Sumit Agarwal

732-902-2125