
Medical Credentialing Coordinator
Posted Jul 21

Posted Jul 21
This is a fully remote position, open to applicants in United States.
• Oversee the credentialing and re-credentialing processes for physicians, nurses, and allied health professionals.
• Confirm licenses, certifications, education, training, and work history to ensure that providers are fully qualified.
• Keep accurate and comprehensive credentialing files, ensuring all staff are authorized before delivering care.
• Remain informed about federal, state, and accreditation requirements (CMS, Joint Commission, NCQA, etc.).
• Monitor expiration dates for licenses, certifications, and accreditations to guarantee smooth renewals.
• Protect provider and facility compliance with healthcare laws and standards at all times.
• Maintain current credentialing databases and systems.
• Generate reports for leadership and regulatory bodies.
• Ensure confidentiality and adherence to HIPAA and other privacy regulations.
• Act as the primary contact for providers, accreditation organizations, and external vendors.
• Collaborate with HR, Medical Staff Services, and leadership to keep credentialing processes on schedule.
• Offer updates and proactive recommendations regarding credentialing status and timelines.
• High School Diploma or GED is required; a Bachelor’s degree is preferred.
• 2–3 years of experience in credentialing, healthcare administration, or a related field.
• Experience in medical staff services, healthcare compliance, or insurance credentialing is advantageous.
• Strong understanding of credentialing processes and healthcare compliance.
• Excellent organizational skills and attention to detail—you ensure nothing is overlooked.
• Proficient in using credentialing databases and related software.
• Exceptional communication skills—clear, professional, and collaborative.
• Capable of managing multiple priorities while adhering to deadlines.
• Health insurance
• 401(k) matching
• Paid time off
• Remote work options
Behavioral Health Works, Inc.
Sodexo
Sodexo
EVERSANA
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