Credentialing Coordinator

Title: Credentialing Coordinator Duration: 3+ Months Location: Doral, FL The primary purpose of the job is to: The Credentialing Coordinator is responsible for processing and completing the credentialing and re-credentialing functions of all providers in accordance with NCQA, state, and federal requirements. Principal Accountabilities: · Validates completeness of provider applications prior to processing. · Conducts primary source verification for all credentialing and re-credentialing applications. · Monitors the progress and completion of all site visits by the provider network team to ensure completion within established timeframe. · Accurately enters all critical data elements of provider applications into Credentialing system. · Responds to phone inquiries received into the Credentialing phone queue from internal and external clients. · Completes projects as assigned. · 0-4 years of prior provider credentialing experience based on a combination of education and experience. · High School/GED with 4 years of experience. OR Associate’s Degree with 1-2 years of experience. OR Bachelor’s Degree with 0-1 years of experience. · Intermediate knowledge of PC applications, including Microsoft Office. · Strong verbal and written communication skills. · Strong organizational skills required. · Ability to perform in a metrics-driven environment All your information will be kept confidential according to EEO guidelines.