Credentialing Coordinator

Stamford, CT 06902

Department: Credentialing Job Number: 4937 Pay Rate: $68000-73000

Job Description

Our client, a premier community teaching hospital located in the metropolitan New York area, is seeking to hire a Credentialing Coordinator.

Job Responsibilities:  

  • Oversee all aspects of the timely credentialing and re-credentialing of staff
  • Follow-up with applicants on missing documentation and preparing files for applicable department and hospital committee approvals
  • Act as liaison between applicants and hospital departments
  • Prepare appointment and reappointment applications for Department Chairperson, Credentials Committee, Medical Executive Committee and Board of Directors committee reviews
  • Oversees database management of demographic information on practitioners and tracking/updating of expired and incomplete information including content on current status of license registrations, board certifications, and other types of certifications
  • Follow-up with applicable practitioners to update documents
  • Maintain database on practitioners on all expirables and other mandated primary source verifications
  • Act as liaison to hospital departments to ensure optimum third-party plan participation of newly credentialed providers
  • Assist in all aspects of operations to ensure department compliance with regulatory standards including, the Joint Commission, NCQA, DOH, CMS
  • Prepare provider files in response to requests from government and regulatory agencies
  • Prepare practitioner files for government and regulatory agency credentialing audits
Job Requirements: 
  • Associate degree
  • NAMSS certification as a CPCS or CPMS is a plus
  • Proficient in the utilization of credentialing and privileging software
  • 3+ years work experience, preferably in credentialing or medical staff office operations or in other health care setting
  • Excellent interpersonal skills and writing skills
  • Ability to manage several tasks simultaneously
  • Computer literacy, working knowledge of word processing and spreadsheet applications
  • High degree of responsibility for confidential matters
  • Ability to work independently
  • Knowledge of Joint Commission and State requirements and related record keeping preferred
  • Ability to function in a demanding environment, navigating multiple projects simultaneously, and
    effectively supporting a busy medical staff office

Job Perks:   

  • Competitive salary, great benefits, and other attractive incentives 
  • Generous PTO  
  • All major insurances (health, life, disability)  
  • Work-life balance is valued   
  • A team environment that believes in employee development, professional growth, and company longevity 
  • Culture is one of mutual respect, teamwork, and equality 
  • The organization embraces and values an inclusive work environment 

Salary: The posted range is not a guarantee. The actual salary will be based on qualifications, experience, and education and could fall outside of this range. Contact us for more information. 
View all jobs online at: https://jobs.talhealthcare.com/ 

There is no such thing as a perfect candidate, so do not let that hold you back from applying. You do not need 100% of the qualifications to add incredible value to the team. If you are passionate about what you could accomplish in this role, we would love to hear from you! 


Meet Your Recruiter

Fran Philips
Vice President, Healthcare Recruitment

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