Credentialing Coordinator
On-siteCamp Hill, Pennsylvania, United States
Job Summary
Coordinate initial credentialing, recredentialing, privileging, and payer enrollment for physicians and allied health providers at the Ambulatory Surgery Center. Collect, verify, and maintain credentialing documentation including licenses, DEA registrations, board certifications, and malpractice insurance while performing primary source verification. Prepare files for Medical Executive Committee and Governing Board review and submit Medicare, Medicaid, commercial payer, and CAQH enrollment applications. Monitor expirations, ensure compliance with CMS and accreditation standards, and serve as the primary liaison with providers, payers, and regulatory agencies. Collaborate with Human Resources, Medical Staff, Compliance, and Revenue Cycle to support onboarding. Prepare reports, maintain databases, and assist with audits. Requires minimum two years of credentialing experience and an associate degree in Healthcare Administration or related field.
Required Qualifications
- Minimum 2 years of credentialing experience
Desired Qualifications
- Associate degree in Healthcare Administration, Business Administration, or related field preferred
Hiring someone like this?
Get your role in front of qualified candidates on Sorce.