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Medical Credentialing Coordinator
Curana HealthMedical Credentialing Coordinator ensuring providers meet care and compliance standards at Curana Health. Managing credentialing lifecycle and maintaining regulatory compliance in healthcare settings.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managing credentialing and re-credentialing processes for healthcare professionals, ensuring compliance with federal, state, and accreditation requirements. Proficient in maintaining accurate credentialing databases and providing clear communication to stakeholders.
Highest-signal resume keywords
Credentialing ProcessesHealthcare ComplianceCredentialing DatabasesOrganizational SkillsCommunication Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Credentialing ManagementLicense VerificationCertification TrackingAccreditation KnowledgeHealthcare Administration
Soft Skills
Attention to DetailCollaborationTime Management
Tools & Technologies
Credentialing SoftwareDatabase Management Systems
Industry Keywords
HIPAA ComplianceCMSJoint CommissionNCQAMedical Staff Services
About the role
Key responsibilities & impact- Manage the credentialing and re-credentialing processes for physicians, nurses, and allied health professionals.
- Verify licenses, certifications, education, training, and work history to ensure providers are fully qualified.
- Maintain accurate and complete credentialing files, ensuring all staff are cleared before providing care.
- Stay current on federal, state, and accreditation requirements (CMS, Joint Commission, NCQA, etc.).
- Track expiration dates for licensure, certifications, and accreditations to ensure seamless renewals.
- Safeguard provider and facility compliance with healthcare laws and standards at all times.
- Maintain up-to-date credentialing databases and systems.
- Create reports for leadership and regulatory agencies.
- Ensure confidentiality and compliance with HIPAA and other privacy regulations.
- Serve as the go-to contact for providers, accreditation organizations, and external vendors.
- Partner with HR, Medical Staff Services, and leadership to keep credentialing processes on track.
- Provide updates and proactive recommendations on credentialing status and timelines.
Requirements
What you’ll need- High School Diploma or GED required; Bachelor’s degree preferred.
- 2–3 years of credentialing, healthcare administration, or related experience.
- Background in medical staff services, healthcare compliance, or insurance credentialing a plus.
- Solid knowledge of credentialing processes and healthcare compliance.
- Strong organizational skills and eye for detail—you don’t let things slip through the cracks.
- Comfortable using credentialing databases and related software.
- Excellent communicator—clear, professional, and collaborative.
- Able to balance multiple priorities while meeting deadlines.
Benefits
Comp & perks- Health insurance
- 401(k) matching
- Paid time off
- Remote work options