Experience:
• 2+ years of credentialing or healthcare administration experience
• Strong attention to detail, organization, and communication skills
• Proficiency in Microsoft Office and credentialing software
• Knowledge of NCQA or Joint Commission standards is a plus
• Exceptional attention to detail, follow-through, and organizational skills.
• Previous experience in a medical office or healthcare setting is preferred.
Role:
Assist providers with applications, privileges, and malpractice documentationCoordinates the third-party payor credentialing and re-credentialing processes for Medical Group Providers, including problem investigation and resolution.Coordinates the facility privileging and re-privileging processes for Medical Group Providers, including but not limited to: a. facilitates information collection, b. completes application forms, c. coordinates submission of applications, and d. supports necessary follow-up, problem investigation and resolution• End-to-end credentialing process of all new and current providers
• Audit files for accuracy and submit for review
• Prepare reports and track credentialing timelines
• Collaborate with internal teams, vendors, and regulatory agencies
• Support onboarding/offboarding and maintain compliance with HIPAA guidelines
• Initiate credentialing and re-credentialing applications for both individual providers and provider groups.
• Maintain accurate and up-to-date records in the credentialing database.
• Collaborate with medical staff to ensure compliance with managed care standards and regulatory requirements.
• Review applications for completeness and accuracy, following up with providers as needed.
• Prepare reports on credentialing activities and outcomes for management review.
• Assist in the development and implementation of credentialing policies and procedures.
Completes the day-to-day processes related to Medical Staff Credentialing of providers.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.