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Provider Credentialing Coordinator
Integrative Emergency ServicesProvider Credentialing Coordinator handling credentialing for health care providers and ensuring privileges at facilities. Collaborating with Medical Staff Offices and Credentials Verification Organizations in a hybrid work environment.
Tech Stack
Tools & technologiesVault
About the role
Key responsibilities & impact- Manage assigned book of business throughout the initial and reappointment process
- Prepare provider credentialing files for required ACOs
- Create credentialing files and enters all pertinent credentialing information received from the provider's initial and reappointment application
- Upload supporting documents to the document vault in the company database
- Coordinate file reviews for accuracy and prepares discrepancies for quality review and approval
- Research and obtain verification of clinicians' medical experience, professional references, state licensure, DEA registration, DPS credentials, and other required documentation
- Coordinate with facility, centralized verification services, medical staff, and clinicians to complete privileging process
- Provide routine status updates for each assigned book of business in the system dashboard
- Maintain company database with current documentation, licensure and updated demographics
Requirements
What you’ll need- High school diploma or equivalent experience
- Minimum 1 year of credentialing experience
- Thorough understanding of the provider privileging process
- Strong customer service orientation
- High levels of proficiency with MS Office applications including Excel
- Familiarity with databases
Benefits
Comp & perks- Flexible work arrangements
- Professional development
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
credentialingprovider privilegingdata entryfile reviewverification of medical experiencestate licensureDEA registrationDPS credentialsdocument management
Soft Skills
customer service orientationattention to detailorganizational skillscommunication skills