[Hiring] Credentialing Coordinator @BizTek People, Inc. | APA International Placement Consultants

Role Description

The Credentialing Coordinator is responsible for managing all aspects of provider credentialing, re-credentialing, and privileging processes for medical professionals delivering patient care. This role ensures providers meet regulatory, legal, and payer requirements and maintains accurate, up-to-date credentialing records across internal and external systems.

• Review provider credentialing and re-credentialing applications; track progress and follow up as needed to ensure timely completion
• Compile, maintain, and audit accurate provider data within credentialing databases and online systems
• Maintain current documentation for all providers, including state licenses, DEA certificates, malpractice coverage, and other required credentials
• Monitor and track license, certification, DEA, and professional liability expiration dates to ensure timely renewals
• Audit health plan directories to ensure accurate provider information and support payer and regulatory audits
• Generate correspondence, reports, and tracking documentation using credentialing software and database systems
• Perform routine assignments in accordance with established guidelines, regulatory requirements, and internal policies

Qualifications

• High School Diploma or GED and a minimum of 3 years of medical staff credentialing experience in a healthcare or insurance provider setting
• Associate’s Degree and 3 years of experience performing data collection or data analysis using complex database systems
• Demonstrated experience working with credentialing or database software systems
• Familiarity with regulatory and compliance standards, including legal, state, TJC, and NCQA requirements
• Strong attention to detail, organizational skills, and ability to manage deadlines independently

Preferred Qualifications

• Certified Provider Credentialing Specialist (CPCS)

Work Arrangement

• Remote (local candidates only)

Schedule

• Monday–Friday, 8:00 AM – 5:00 PM

Assignment Duration

• 4 months

Start Date

• October 12th