Under the direction of the Management Team the Credentialing Coordinator is responsible for coordinating the credentialing process which includes gathering all credentialing materials, maintaining up to date records and documentation, out reach to health plans for follow up and problem resolution, and ensuring ongoing compliance as required by regulatory agencies. Monitors current licensing, malpractice coverage and DEA information and communicates to Director/Manager/Supervisor and/or appropriate staff any discrepancies or variances as necessary. Key functions also include maintaining up-to-date computer programs to record and/or update information as necessary.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. These functions include but are not limited to the following:
Required Education and Experience
Education and/or Certification/Licensure
High School Diploma and greater than 3 years equivalent experience in a managed care environment with primary focus on credentialing or accreditation activities for physicians/facilities is required.