Credentialing Coordinator
Job Description
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
Meet Your Recruiter
Libby Sims
Talent Acquisition Specialist
Libby was born in Mississippi, moved around a bit, and returned to graduate from Morton High School and attend Ole Miss. After beginning part-time work in high school with her father’s medical practice, she continued in the medical field for the next 20 years. She has worked in a management role in multiple settings including hospital, homecare, private practice, and as a consultant in software transition for hospitals. Libby spent the last several years at home raising her boys and currently lives in Kosciusko with her husband and children.
Libby joined PSG in June 2021 and has a robust background in vetting and hiring medical professionals for all settings. Although new to staffing she is a pro at finding highly motivated and qualified employees for the medical and clerical fields.
Libby’s role at PSG is to match potential employees with PSG clients. Her goal is to provide our associates with a chance to attain their career goals while providing clients with the most qualified employees available.