credentialing coordinator

Speak Viral

We are looking for a Credentialing Specialist to join our team and oversee administrative tasks dealing with our health facility&rsquo;s credentialing.Credentialing Coordinator responsibilities include maintaining and verifying files and tracking the expiration of certifications throughout the organization.Ultimately, you will work with different departments across our organization to ensure staff members have the necessary accreditations needed throughout the year.Responsibilities<ul><li>Identify discrepancies in information and conduct follow-ups</li><li>Present applications to the facility&rsquo;s Credentialing Committee</li><li>Assist customers with credentialing inquiries</li><li>Respond to health plan provider inquiries</li><li>Capture primary source documentation in computer databases</li><li>Ensure data is backed up</li><li>Follow compliance laws, regulations, procedures, and policies</li></ul>Requirements and skills<ul><li>Proven work experience as a Credentialing Coordinator or similar role</li><li>Excellent verbal and written communication skills</li><li>Expertise with Microsoft Office Word and Excel</li><li>Proficient touch-typing skills</li><li>Ability to focus for extended periods</li><li>Relevant training and/or certifications as a Credentialing Coordinator</li></ul>Benefits: Increment after Probation Annual Increment Free Meal/Tea Career GrowthJob Type: Full-timePay: Rs50,000.00 - Rs100,000.00 per monthApplication Question(s):<ul><li>Will you be able to work in night shift(6pm to 3am)?</li><li>Will you be able to commute to Bahria Town Phase 7 Rawalpindi?</li></ul>Work Location: In person

Credentialing Specialist

Christus Health

Description Summary:The Coordinator Credentialing Senior serves as the first line of defense through the functions of providing for adequate and qualified staff. Under supervision of leadership, the Coordinator Credentialing Senior is responsible for the department. Duties include ensuring compliance with regulatory and accrediting agencies, interpreting standards, and identifying, recommending and implementing changes. This position serves as the liaison between administration and staff on matters such as medical staff credentialing. This includes, but is not limited to, verification of education and training, certification and clinical practice credentials. The Coordinator Credentialing Senior demonstrates leadership through the role of advisor to staff and administration in understanding and applying standards. This position is responsible for developing and maintaining all aspects of the credentialing function. Incumbent will demonstrate broad knowledge of the business and leadership ability to warrant role model status to others with relevant roles within the organization. The Coordinator Credentialing Senior is able to advise the medical staff leadership on matters of priority in an expeditious manner and can instruct them in the responsibilities of their positions with respect to credentialing and help bring them up to date on current issues involving regulatory agencies, clinical privileges, or standards of care. Must demonstrate sufficient empowerment skills to successfully assume and maintain at least one major project as assigned by administration. Assigned projects are strategic in nature and long term in responsibilities. The Credentialing Coordinator Senior should demonstrate strong organizational skills and assertiveness in problem solving.Responsibilities:<ul><li>Responsible for all aspects of credentialing</li><li>Serves as role model and mentor to others in interfacing relevant roles</li><li>Preceptor to others in duties related to credentialing</li><li>Cross trains other staff for major job responsibilities as appropriate for optimum functioning</li><li>Serves as liaison between staff and administration</li><li>Oversees credentialing activities</li><li>Precepts and mentors designated staff personnel</li><li>Coordinates staff with regulators</li><li>May facilitate staff meetings</li><li>May be responsible for the preparation of meetings, including production of agenda, documents for review and for personal review and preparation of staff in advance, as needed to facilitate informed participation.</li><li>May be responsible for accurate and timely recording of meeting minutes.</li><li>Assists staff in enforcing bylaws, rules and regulations, policies and procedures, and identifies /communicates the need for revisions and additions.</li><li>Tracks current licensure required for staff.</li><li>May record and track meeting attendance as required by staff bylaws for maintaining staff status.</li><li>May provide support for staff and administration for Due Process Proceedings by attending hearings and appeals meetings and recording proceedings.</li><li>Tracks monitoring/proctoring documentation necessary for the granting of special or new privileges to staff.</li><li>Updates the database for the credentials, and keeps computer system current.</li><li>May help coordinate staff functions</li><li>Follows the CHRISTUS Guidelines related to the Health Insurance Portability and Protected Health Information ACT (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI).</li><li>Collaborate with all other departments as appropriate and required to facilitate the completion of tasks/goals.</li><li>Responsible for all aspects of compliance with the standards of credentialing and accrediting bodies.</li><li>Communication, Coordination, Collaboration with all customers, internal and external</li><li>Responsible for at least one major project that contributes to the strategic initiatives of the department.</li><li>Serves as Liaison to staff in matters of credentialing and related issues.</li><li>Manages projects and timelines to achieve highest quality work within allotted period.</li></ul>Requirements:<ul><li>High School Diploma Required</li><li>3 Years Related Experience Preferred</li><li>Certified Provider Credentialing Specialist (CPCS) or Certified Medical Staff Coordinator (CMSC) Preferred</li></ul>Work Schedule: 5 Days - 8 HoursWork Type: Full Time

Coordinator Credentialing Senior - Credentialing

Macrise Tech Solutions

Organization: One Behavioral Health &amp; Alara Healthcare Location: Wapda Town, LahoreOne Behavioral Health and Alara Healthcare provide high-quality outpatient and inpatient behavioral health services for adults and children across the Houston area. As our organization grows, we are seeking a highly organized and detail-oriented Credentialing Specialist to ensure provider compliance, support smooth healthcare operations, and maintain high standards of patient care.Role OverviewAs a Credentialing Specialist, you will manage the full lifecycle of provider credentialing and re-credentialing across multiple networks and platforms. Your attention to detail, proactive approach, and follow-through will ensure providers remain compliant with payer, regulatory, and hospital requirements, directly supporting efficient billing, timely authorizations, and quality patient care.Key ResponsibilitiesCredentialing &amp; Compliance<ul><li>Maintain and update provider credentialing files for commercial and government payers.</li><li>Manage CAQH profiles and ensure compliance with CMS and payer-specific standards.</li><li>Process initial credentialing and re-credentialing applications for Medicare, Medicaid, and private insurers.</li><li>Handle applications and renewals for professional licenses, DEA registration, and controlled substance permits.</li><li>Complete government and regulatory revalidation processes within required timelines.</li><li>Coordinate hospital credentialing, maintain provider privileges, and manage ongoing affiliations.</li></ul>Collaboration &amp; Support<ul><li>Work closely with the Revenue Cycle Director and Billing Team to resolve credentialing-related denials and authorization issues.</li><li>Ensure provider information is accurate across CAQH, PECOS, NPPES, CMS databases, and internal systems.</li><li>Maintain an internal credentialing grid with provider credentials, renewal dates, and login details.</li><li>Provide administrative support for audits, compliance checks, and related documentation as required.</li></ul>Ideal Candidate Profile<ul><li>Strong knowledge of healthcare credentialing standards, payer requirements, and regulatory compliance.</li><li>Excellent organizational skills with meticulous attention to detail and accuracy.</li><li>Experience with credentialing platforms such as CAQH, PECOS, and NPPES.</li><li>Ability to manage multiple tasks independently while collaborating effectively with internal teams.</li></ul>Job Type: Full-timePay: Rs45,000.00 - Rs70,000.00 per monthAbility to commute/relocate:<ul><li>Wapda Town: Reliably commute or planning to relocate before starting work (Required)</li></ul>Application Question(s):<ul><li>Willing to work the night shift in Wapda Town, Lahore?</li></ul>Experience:<ul><li>Medical Billing: 1 year (Preferred)</li></ul>Language:<ul><li>English (Required)</li></ul>Work Location: In person

Provider Credentialing

CrystalVoxx Ltd.

About Company:-CrystalVoxx Ltd, a KPO providing end to end service in Revenue Cycle Management (RCM), Credentialing, Medical Coding, Medical Transcription, Virtual Assistance to doctors / providers in US Healthcare Industry.Job Description:-<ul><li>Location:- Ahmedabad</li><li>Shift:- 5:30 PM to 2:30 AM</li><li>Working Days:- Monday to Friday</li></ul>Roles &amp; Responsibilities:<ul><li>Completes providers credentialing, re-credentialing applications; monitors applications, and follows-up as needed.</li><li>Maintains knowledge of current health plan requirements for credentialing process.</li><li>Tracks license and certification expirations for all providers to ensure timely renewals.</li><li>Ensures practice addresses / Phone number / Fax Number are current with health plans.</li><li>Identifying discrepancies in information and conducting follow-ups.</li><li>Responding to health plan provider inquiries.</li><li>Ensure that facility/providers comply with federal and state regulations regarding licensure.</li><li>Ensure that health-care providers update their certification or licensing on time.</li><li>Create NPPES (National Plan and Provider Enumeration System) and profiles for Medicare and NPI (National Provider Identification)</li><li>Creates and maintains CAQH (Council for Affordable Quality Healthcare) accounts.</li><li>Evaluates and maintains positive working relationships with outside credentialing partners, including health plans, field leadership.</li></ul>Skills required:<ul><li>Minimum 1-2 years credentialing experience is additional.</li><li>Proficient with Windows, MS Office, Outlook, and Internet Explorer</li><li>Excellent time management and organizational skills</li><li>Excellent written and verbal communication skills</li></ul>Job Type: Full-timePay: &#8377;252,000.00 - &#8377;360,000.00 per yearApplication Question(s):<ul><li>What is your current/last CTC?</li><li>What is your notice period?</li><li>What is your expected CTC?</li></ul>Work Location: In person

Description Summary:Responsible for coordination and oversight of the Medical Staff Services Department, including physician and allied health credentialing and re-credentialing and privileging, organizing and minutes taking at medical staff meetings, flow of information from medical staff committees through Administration, Medical Executive Committee, and the Governing Board. Assists with TJC survey preparation for the medical staff/leadership functions, including staff and medical staff education regarding accreditation standards. Works closely with medical staff leaders, hospital administration, and Risk Manager regarding medical staff and bylaws issues.Responsibilities:• The Credentials Verifications Office (CVO) medical Staff Coordinator is responsible for the coordination of medical Staff credentialing and privileging • The CVO Medical Staff Coordinator prioritizes the work processes and monitors the performance of the Credentialing SpecialistRequirements:<ul><li>Basic Computer Knowledge</li><li>Ability to communicate effectively, both verbally and written.</li><li>Must possess strong management, organization, communication, and computer skills; must demonstrate good interpersonal and analytical skills and the ability to work under stress and maintain confidentiality.</li><li>Requires a minimum of 3-5 years' experience in a medical staff office or related health care environment and has effective knowledge of TJC and TDH Standards.</li><li>High school diploma or equivalent.</li></ul>Work Schedule: 8AM - 5PM Monday-FridayWork Type: Full Time

Coordinator Medical Staff-Med Staff Administration-Full Time

About UsOne Behavioral Health and Alara Healthcare, located in Wapda Town, Lahore, provide high-quality outpatient and inpatient behavioral health services for adults and children across the Houston area. As our organization continues to grow, we are seeking a highly organized and detail-oriented Credentialing Specialist who is committed to accuracy, compliance, and supporting a seamless healthcare delivery process.Your RoleAs a Credentialing Specialist, you will be responsible for managing the complete credentialing and re-credentialing lifecycle for providers across multiple networks and systems. Your role ensures that all providers remain compliant with payer, regulatory, and hospital requirements. Your attention to detail, proactive approach, and strong follow-up skills will directly support efficient billing operations, timely authorizations, and high-quality patient care.Key ResponsibilitiesCredentialing &amp; Compliance<ul><li>Maintain, update, and organize provider credentialing files for both commercial and government payers.</li><li>Manage and oversee CAQH profiles, ensuring alignment with CMS and payer-specific compliance standards.</li><li>Process initial credentialing and re-credentialing applications for Medicare, Medicaid, and private insurance networks.</li><li>Handle applications and renewals for professional licenses, DEA registration, and controlled substance permits.</li><li>Complete revalidation processes for government and regulatory programs within required timelines.</li><li>Coordinate hospital credentialing, manage provider privileges, and maintain ongoing affiliations.</li></ul>Collaboration &amp; Support<ul><li>Collaborate with the Revenue Cycle Director and Billing Team to resolve credentialing-related denials and authorization issues.</li><li>Ensure all provider information is accurate and consistent across CAQH, PECOS, NPPES, CMS databases, and internal systems.</li><li>Maintain an internal credentialing grid containing provider credentials, expiration dates, and login details.</li><li>Provide administrative support for credentialing audits, compliance checks, and related documentation as needed.</li></ul>Ideal Candidate Profile<ul><li>Strong understanding of healthcare credentialing standards and payer requirements.</li><li>Exceptional organizational skills with a high level of accuracy and attention to detail.</li><li>Experience working with credentialing platforms such as CAQH, PECOS, and NPPES.</li><li>Ability to manage multiple tasks independently while collaborating effectively with various teams.</li></ul>Job Type: Full-timePay: Rs45,000.00 - Rs70,000.00 per monthAbility to commute/relocate:<ul><li>Wapda Town: Reliably commute or planning to relocate before starting work (Required)</li></ul>Application Question(s):<ul><li>Willing to work the night shift in Wapda Town, Lahore?</li></ul>Experience:<ul><li>Medical Billing: 1 year (Preferred)</li></ul>Language:<ul><li>English (Required)</li></ul>Work Location: In person

Credentialing & Enrollment executive-Medical Billing

MaxRemind

We Are Hiring: Credentialing Calling Executive, Junior Credentialing Executive, Credentialing Audit ExecutiveAbout the Role: We are seeking a motivated and detail-oriented Credentialing Calling Executive, Junior Credentialing Executive, Credentialing Audit Executive to join our healthcare operations team. The ideal candidate will handle professional communication with insurance payers, verify credentialing details, and ensure accuracy and compliance across provider data systems.Key Responsibilities:<ul><li>Make outbound and inbound calls to insurance payers to verify and update credentialing information.</li><li>Ensure all data and documentation are accurate, complete, and up to date.</li><li>Maintain records in credentialing databases and assist with application submissions.</li><li>Coordinate with internal teams to follow up on pending information or approvals.</li><li>Adhere to process guidelines, confidentiality policies, and quality standards.</li></ul>Requirements:<ul><li>Excellent verbal and written communication skills in English.</li><li>Strong attention to detail with proficiency in MS Office applications.</li><li>Willingness to work in night shifts (US process).</li><li>Positive attitude with a collaborative and professional work ethic.</li><li>Bachelor&rsquo;s degree in any discipline.</li><li>0 months to 1 year of experience, preferably in BPO, healthcare operations and Credentialing.</li></ul>What We Offer:<ul><li>Competitive salary package</li><li>Dinner and Tea provided</li><li>Opportunities for career growth and professional development</li><li>Supportive and collaborative work environment</li></ul>Location: Near Old Airport Fazal Town Phase 2, Rawalpindi Shift: Evening Shift 6 PM to 3 AM (Mon-Fri) Email: hr@mremind.com Website: www.maxremind.comJob Type: Full-timePay: Rs50,000.00 - Rs70,000.00 per monthWork Location: In person

Credentialing Executive

Search 4079+ Credentialing coordinator jobs near you this December. New roles added regularly across leading industries. Apply today.

4079 credentialing coordinator jobs NEAR_ME

Credentialing Specialist

Coordinator Credentialing Senior - Credentialing

Provider Credentialing

Credentialing Specialist

Coordinator Medical Staff-Med Staff Administration-Full Time

Credentialing & Enrollment executive-Medical Billing

Credentialing Executive