Credentialing Coordinator

Join a leading organization in the healthcare sector dedicated to ensuring the highest standards of patient care through rigorous credentialing processes. This is an exciting opportunity to contribute directly to the quality and safety of healthcare services, working within a dynamic team that values precision and compliance. Your expertise will be vital in maintaining a robust network of qualified clinicians, making a tangible impact on the lives of patients and the success of the organization.

To be considered for this role, you must:

• Be authorized to work in the United States
• Not require sponsorship of any kind for the duration of the assignment
• Be able to work on a W-2 basis. C2C or 1099 is not permitted for this position
• Be able to work on-site 2-5 days per month.

The Role: Credentialing Coordinator

As a Credentialing Coordinator, you will play a critical role in facilitating the credentialing process for clinicians, ensuring all regulatory and internal standards are met. You will be instrumental in verifying clinician qualifications, maintaining accurate records, and supporting the credentialing committee, directly contributing to the integrity of our healthcare provider network. This position offers the chance to apply your meticulous organizational skills and compliance knowledge in a fast-paced, impactful environment.

Key Responsibilities

• Review and process initial credentialing and re-credentialing files for clinicians.
• Establish and maintain systems for the timely processing of credentialing files, adhering to industry accreditation standards.
• Query relevant organizations and meticulously evaluate responses to ensure provider compliance with established standards.
• Maintain comprehensive copies of current state licenses, DEA certificates, malpractice coverage, and all other necessary credentialing documents for providers.
• Thoroughly review all background checks, drug tests, and TB screenings, accurately recording the results.
• Compile all verified information and prepare detailed files for presentation to the Credentialing Committee.
• Verify providers' specific requirements for approval to practice in various states and health plans.
• Provide essential support for the ongoing monitoring of contracted clinicians.
• Utilize credentialing database systems to perform queries, generate reports, and enhance operational efficiency.
• Offer administrative support to department leadership and both internal and external stakeholders, fostering collaborative relationships.
• Uphold the highest level of professionalism at all times, ensuring timely and professional communication.
• Actively contribute to a team-oriented environment and assist with special projects as needed.
• Maintain strict security and privacy of all protected health information (PHI) accessed during work activities.

Must-Have Qualifications

• 1-3+ years of successful work experience in a credentialing role or department, with a strong preference for medical staff (hospital-based) credentialing experience.
• Intermediate proficiency with Google Suite, including Google Sheets, Docs, and Gmail.
• Demonstrated working knowledge of NCQA accreditation standards.
• Hands-on experience completing Primary Source Verification (PSV) for state licenses, DEA, malpractice coverage, background checks, and screenings.
• Experience working within credentialing database systems.
• Active listening skills and the ability to provide and receive constructive feedback.
• Strong interpersonal skills, with the ability to build rapport and productive relationships with internal and external stakeholders.

Nice-to-Have Qualifications

• 2-5 years of total credentialing experience.
• Experience in hospital or health system environments.
• Experience preparing files for credentialing committee review.
• Working knowledge of problem-solving and decision-making skills.
• Ability to effectively organize and prioritize workload and daily tasks.
• Ability to obtain NAMSS Certification as a Certified Provider Credentialing Specialist (CPCS) within 2 years of eligibility.

Education

• High school diploma or up to 1 year of equivalent experience.

About Aquent Talent:

Aquent Talent connects the best talent in marketing, creative, and design with the world's biggest brands. Our eligible talent get access to amazing benefits like subsidized health, vision, and dental plans, paid sick leave, and retirement plans with a match. We also offer free online training through Aquent Gymnasium. More information on our awesome benefits! Aquent is an equal-opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics. We're about creating an inclusive environment-one where different backgrounds, experiences, and perspectives are valued, and everyone can contribute, grow their careers, and thrive.

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