Credentials Coordinator Job at Robert Half (Saint Helena)

Medical Staff Credentialing Specialist and Coordinator

The Medical Staff Credentialing Specialist and Coordinator assists the Medical D...

Location

United States , Medina

Salary:

50000.00 - 60000.00 USD / Year

Orleans Community Health

Expiration Date

Until further notice

Requirements

Associates Degree or Certified Provider Credentialing Specialist (CPCS)
A minimum of 2-3 Years Credentialing experience is preferred
Excellent verbal and written communication skills, ability to relate well with people of diverse backgrounds, training and experience
Proficiency with medical practice software programs, Familiarity with credentialing requirements of hospitals and insurance carriers
Understanding of Malpractice insurance coverages and policies
Knowledge and understanding of credentialing process
Ability to organize and prioritize work and manage multiply priorities
Ability to research and analyze data
Ability to work independently with minimal supervision
Ability to establish and maintain effective working relationships with providers, management, staff and external contacts

Job Responsibility

Compiles and maintains current and accurate data for all providers
Completes provider credentialing and re-credentialing applications, monitors applications and follow-up as needed
Maintains copies of current state licenses, DEA certificates, malpractice coverage and any other required credentialing documents for all providers
Maintains corporate provider contract files
Maintains knowledge of current health plan and agency requirements for credentialing providers
Sets up and maintains provider information in online credentialing databases and system
Tracks license and certification expirations for all providers to ensure timely renewals
Ensures practice addresses are current with health plans, agencies and other entities
Audits health plan directories for current and accurate provider information
Completes credentialing/re-credentialing application packets for hospital, insurance carriers and government programs

What we offer

vacation and sick time
health, dental and vision
pension and retirement plan
competitive wages, with superior pension and retirement plans with employer contributions
12% shift differential for working evening and night shifts
excellent vacation, holiday and sick leave package
tuition assistance
free parking

Fulltime

Enrollment Coordinator

Allara is seeking a detail-oriented Enrollment Coordinator to support our missio...

Location

United States

Salary:

25.00 - 30.00 USD / Hour

Allara Health

Expiration Date

Until further notice

Requirements

Experience with Verifiable and CAQH
2+ years of experience in provider credentialing, preferably in a healthcare setting
Excellent organizational and time-management skills
Strong attention to detail and accuracy
Exceptional communication and interpersonal skills

Job Responsibility

Timely review, investigation, enrollment, and updating of provider applications
Maintain quality, production, and timeliness standards
Review, data entry, and process all enrollment/update provider enrollment types and related documents, and correct audit errors
Work on complex Provider Enrollment applications under strict deadlines
Address and resolve issues during the credentialing process
Provide feedback on problem prevention for early intervention

What we offer

100% remote within the U.S.
Equal-opportunity workplace
Commitment to diversity and inclusion

Credentialing Coordinator

Our client is looking for a Credentialing Coordinator! The Credentialing Coordin...

Location

United States , Los Angeles

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

Manage credentialing lifecycle processes including initial appointments, reappointments, privileging, and focused professional practice evaluations (FPPE)/proctoring
Collect required documentation and conduct primary source verification to ensure provider credential files are complete and compliant
Maintain accurate, organized, and error-free credentialing files, ensuring timely processing and updates
Support provider onboarding by coordinating computer access, training, orientation, and ID badging
Maintain working knowledge of medical staff bylaws, rules, regulations, and regulatory agency requirements
Assist with the maintenance and accuracy of the medical staff credentialing database
Ensure strict confidentiality regarding all medical staff and credentialing information
Perform additional duties as assigned
High School Diploma or GED required
Associate’s or Technical Degree (or equivalent combination of education and experience) preferred

Job Responsibility

The Credentialing Coordinator performs core functions within the credentialing lifecycle, including provider onboarding, credential verification, and maintenance of credentialing records
The Credentialing Coordinator role supports the medical staff services department by ensuring accurate and timely processing of credentialing documentation while maintaining compliance with regulatory standards and organizational policies

What we offer

competitive compensation and benefits
free online training
medical, vision, dental, and life and disability insurance
eligible to enroll in our company 401(k) plan

Coordinator Credentialing Senior

The Coordinator Credentialing Senior serves as the first line of defense through...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

High School Diploma required
3 Years Related Experience preferred
Certified Provider Credentialing Specialist (CPCS) or Certified Medical Staff Coordinator (CMSC) preferred

Job Responsibility

Responsible for all aspects of credentialing
Serves as role model and mentor to others in interfacing relevant roles
Preceptor to others in duties related to credentialing
Cross trains other staff for major job responsibilities as appropriate for optimum functioning
Serves as liaison between staff and administration
Oversees credentialing activities
Precepts and mentors designated staff personnel
Coordinates staff with regulators
May facilitate staff meetings
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

Fulltime

Credentialing Auditor

Responsible for auditing all complete credentialing applications and to build so...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

Bachelor's Degree preferred
High School or equivalent required
3 years of experience in medical staff and/or managed care credentialing preferred
Certified Provider Credentialing Specialist (CPCS) preferred

Job Responsibility

Coordinate and conduct credentialing audits analyzing provider files for completeness, accuracy, consistency, gaps in work history, relevant references, etc.
Prepare credentialing audit reports tracking and trending auditor findings and assist in the formulation of staff training guides, policies and procedures
Manages multiple concurrent audits, plan audits and related projects ensuring all audit tools comply with NCQA, TJC and CMS requirements
Coordinates the credentialing and re-credentialing process for assigned providers

Fulltime

New

Credentialing Coordinator

The Credentialing Coordinator facilitates the accurate and efficient Credentiali...

Location

United States , Phoenix

Salary:

Not provided

Blue Cross Blue Shield of Arizona

Expiration Date

Until further notice

Requirements

2 years of experience in a healthcare field
2 years of experience in provider credentialing
High-School Diploma or GED in general field of study

Job Responsibility

Ensure timely and accurate processing of credentialing and recredentialing for both individual practitioners and organizations
Coordinate Credentialing Committee meeting, including preparing the agenda and documenting meeting minutes
Identify and communicate agenda items for Credentialing Committee to immediate leader
Facilitate prompt coordination with the Credentialing Verification Organization (CVO) and monitor Work in Progress file
Promptly address incoming files for processing
Review and maintain all applications for accuracy and completeness
Accurately and efficiently data enter primary source verification data into the credentialing database
Input credentialing decisions and dates into the credentialing database
Generate and mail approval letters to participating providers
Identify missing or erroneous information from the provider’s application, and communicate with the provider to obtain

Fulltime

Physician & APP Credentialing Coordinator

This job description indicates the general nature and level of work expected of ...

Location

United States , Charlotte

Salary:

25.30 - 37.95 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

High School Graduate
Typically requires 3 years of experience in a related field such as physician credentialing, medical education, or medical staff office in a healthcare environment
Strong customer and physician relations skills
Excellent organizational and communication skills
Proficient in the use of Microsoft Office (Excel, Access, PowerPoint and Word) or similar products
Ability to work effectively with minimal supervision and manage multiple priorities
Knowledge of basic medical terminology (department specific)
Must be able to sit, stand, walk, lift, squat, bend, twist, crawl, kneel, climb and reach above shoulders at various times in each workday
Must be able to file in a five-drawer filing cabinet
Must be able to use hands with fine manipulation when using computer keyboard

Job Responsibility

Evaluates requests for applications and obtains authorization as needed
Determines appropriate action to accept or deny application requests
Initiates application process
Processes applications, reappointments and other credentialing events to the Medical Staff/Network
Responsible for quality control on the content and completeness of finalized practitioner credentials files
Coordinates biennial review
Documents all work performed for credentialing events in database
Communicates the progress, completion and findings of ongoing applications to leadership
Maintains credentialing database
Responsible for investigation and documentation of practitioner credentials

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

Coordinator - Credentialing and Enrollment

Coordinator - Credentialing and Enrollment FT Days position at Carolinas Medical...

Location

United States , Charlotte

Salary:

24.10 - 36.15 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

High School Diploma or GED required
Bachelor's Degree preferred
Certification by National Association Medical Staff Services or Certified Provider Credentialing Specialists preferred
Previous experience as a Credentialing Coordinator preferred
Knowledge of The Joint Commission standards for hospitals and Behavioral Health Centers preferred

Job Responsibility

Processes and submits complete, timely and accurate applications to chief(s) of the appropriate department(s) for review and recommendation to the Facility Credentials Committees and communicates the status of credentialing applications to all constituents directly
Interprets and assists in implementing the standards of The Joint Commission
Prepares the maintenance documentation, as defined on the Delineation of Privileges Forms, for presentation to the Facility Credentials Committees at the time of reappointment
Processes requests and prepares correspondence to appointees regarding change of status, expansion of privileges (either an increase or a decrease), and resignations. Maintains and updates database accordingly
Serves as the first contact when communicating with hospital personnel regarding appointees clinical privileges and if they are allowed to go forward with cases, as scheduled
Prepares the appointees credentials files for audits
Maintains current licensure, certifications, malpractice insurance and any other applicable regulatory items at time of appointment and continuous maintenance going forward to ensure timeliness, accuracy and integrity of the credentialing and clinical privileging database system and compliance with the regulatory agencies

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

Credentials Coordinator

Robert Half

Location:
United States , Saint Helena

Category:
Office Administration

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
May 16, 2026

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