Credentialing Coordinator

About the role

Our client is seeking Credentialing Coordinators to support the processing of credentialing applications, obtaining and completing verification of practitioners' experience, state licensure, DEA registration, and Board Certification according to NCQA, state, and federal requirements. This is a fully remote, 2+ month contract position with extension available, based in the US.

Responsibilities

• Process initial credentialing applications for completeness in a timely manner
• Independently review and assess provider applications, identify credentialing concerns, and request follow-up information from practitioners or other sources as needed
• Complete primary source verification and credentialing in accordance with regulatory and NCQA accreditation standards and guidelines
• Ensure the quality and integrity of provider files, maintained according to internal quality and security policies

Requirements

• 2+ years of credentialing experience
• Strong organizational skills, including time management and the ability to manage a high-volume work queue
• Must be a US Citizen, Green Card holder, or H1B visa holder

Qualifications

• Knowledge/experience with the MD-Staff credentialing database
• Working knowledge of NCQA Standards