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Credentialing Coordinator

Flowood, MS 39232

Posted: 05/31/2024 Employment Type: Perm Job Category: Healthcare Job Number: 3968 Pay Rate: 55,000

Job Description

Credentialing Coordinator:
We are looking for a Full-time organized credentialing coordinator to assist us with administrative tasks pertaining to our practitioners' credentialing. The individual will be responsible for credentialing for Orthopedic Providers and Nurse Practitioners. There will also be a responsibility to maintain the ASC provider’s credentialing.
The credentialing coordinator will organize, maintain, and verify all aspects of the process, and maintain current files on practitioners. You will track the expiration of certifications to maintain up to date files and assist health plan providers and staff with phone inquiries.
Be able to ensure the currency and accuracy of all information. Preferred candidates will be dependable and have excellent people skills.

 Responsibilities:
  • Processing initial credentialing and re-credentialing applications.
  • Screening practitioners' applications and supporting documentation to ascertain their eligibility.
  • Collecting information from the National Practitioner Data Bank, the applicant and their malpractice insurer, and other relevant sources.
  • Keeping up with all CAQH provider information monthly
  • Identifying discrepancies in information and conducting follow-ups.
  • Presenting applications to the facility’s Credentialing Committee.
  • Assisting management and providers with credentialing inquiries.
  • Responding to health plan provider inquiries.
  • Capturing primary source documentation in computer databases.
  • Ensuring data is backed up.
  • Ensuring compliance with applicable laws, regulations, procedures, and policies.

Requirements:
  • High school diploma, GED, or suitable equivalent.
  • 3+ years of credentialing experience with hospital medical staff.
  • Knowledge of medical credentialing and privileged procedures and standards.
  • Excellent verbal and written communication skills.
  • Proficient with Microsoft Office Word and Excel.
  • Proficient touch-typing skills.
  • Ability to focus for extended periods.

Job Requirements

1

Meet Your Recruiter

Libby Sims
Talent Acquisition Specialist

Libby is a seasoned professional with a diverse and comprehensive background in the medical field, bringing over two decades of experience to her role at PSG. A native of Mississippi, Libby was born in the state and, after living in several places during her youth, returned to graduate from Morton High School. She went on to attend the University of Mississippi (Ole Miss), where she further cultivated her passion for healthcare and service.

Her introduction to the medical field began early, working part-time in her father’s medical practice while still in high school. That early exposure sparked a lifelong career in healthcare that has spanned more than 20 years. During that time, Libby took on increasingly complex roles, including management positions in hospitals, homecare services, private practices, and healthcare consulting. Her work as a consultant focused on guiding healthcare facilities through software transitions, demonstrating her adaptability and strong grasp of both clinical and administrative functions.

After several years focused on raising her sons, Libby re-entered the workforce and joined PSG in June 2021. While new to the staffing industry, she quickly established herself as a vital member of the team, leveraging her deep industry knowledge to identify, recruit, and place top-tier talent in legal, healthcare, IT, Accounting and Finance and general clerical roles. Her ability to understand both the needs of our clients and the aspirations of job seekers allows her to make meaningful matches that support long-term success for both clients and candidates.

Libby’s current role at PSG centers on aligning skilled professionals with the right opportunities, ensuring every placement is a win-win. She is deeply committed to helping individuals achieve their career goals while delivering reliable, motivated talent to healthcare employers.

Outside of work, Libby enjoys spending quality time with her family and staying connected to her community. Libby is a member of all three local Chambers, Goodwill Industries, American Heart Association Circle of Red and Rankin County Republican Women’s association.

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About Flowood, MS

Ready to take the next step in your career? Explore our job opportunities in the vibrant city of Flowood, Mississippi, just a stone's throw away from the state capital, Jackson. Flowood boasts a thriving economy, excellent schools, and a tight-knit community that welcomes newcomers with open arms. Enjoy the lush greenery of the nearby LeFleur's Bluff State Park or catch a game at Trustmark Park, home of the minor league baseball team, the Mississippi Braves. Indulge in Southern cuisine at the renowned local eateries or immerse yourself in the arts at the Mississippi Museum of Art. Come join us in Flowood and discover all the incredible opportunities awaiting you in this charming and dynamic region – your dream job could be just a click away!