Credentialing Coordinator II

Credentialing Coordinator II Job Description Template

Our company is looking for a Credentialing Coordinator II to join our team.

Responsibilities:

  • Responsible for notification to appropriate parties once received;
  • Ensure primary source verifications occur for internal processing as well as external customers (i.e. MSO’s & State Boards);
  • Assist and prepare for NCQA audit, if applicable;
  • Ensure credentialing & re-credentialing is processed in accordance with NCQA and company standards;
  • Coordinate internally to ensure complete information is received;
  • Credentialing (within 180 days) & re-credentialing as required by contracted facility;
  • Responsible ensure MSO (Medical Staff Offices), credentialing database is updated and current;
  • Other duties as assigned;
  • Provide timely follow-up to obtain documentation required.

Requirements:

  • Meet established production and quality goals/metrics;
  • Communicate and work well in a team environment;
  • Good organizational skills;
  • Able to effectively prioritize work on a daily basis;
  • Follow up in a timely manner on open items.

What job descriptions are similar to Credentialing Coordinator II?