Credentialing Coordinator 2
Core
Coordinates credentialing processes for primary care providers, including insurance carrier applications, licensing, and hospital privileges.
Role type
Credentialing Coordinator
Builds
Provider credentialing profiles and applications for insurance, licensing, and hospital systems
Domain
Healthcare administration
Required skills
Insurance carrier credentialing, medical licensing applications, CAQH management, DEA application processing, malpractice insurance coordination, hospital privilege processing, database maintenance, billing resolution, provider documentation tracking
Preferred skills
Experience with Image Silo, NPPES, practice management collaboration
Technologies
CAQH, Image Silo, NPPES, credentialing databases
Responsibilities
Assists providers with completing applications for medical licensing, insurance carrier credentialing, CAQH completion, DEA application, malpractice insurance, and hospital credentialing; Maintains provider profiles in credentialing databases; Prepares credentialing applications for imaging and laboratory facilities; Collaborates with billing to resolve credentialing-related payment issues; Tracks provider licenses, certifications, and malpractice insurance documentation.