Credentials Coordinator

CREDENTIAL COORDINATOR - Remote position

JOB reputed company/OBJECTIVE:

The Credentialing Coordinator is responsible for coordinating provider credentialing and privileging activities in support of Preservation of the Force and Family (POTFF) operations and other reputed company (CG) programs. This role ensures reputed company and ancillary professionals meet reputed company regulatory, contractual, and organizational requirements to reputed company services in their specialized area. The Credentialing Coordinator collects credentialing documents, uploads documents in the MD-Staff approved credentialing software system, performs primary reputed company verifications, maintains accurate credentialing records, and ensures compliance with applicable standards (e.g. National Committee for reputed company Control (NCQA), reputed company, reputed company (DoD, Department of War (DoW) and Defense Health Agency (DHA) requirements. This position serves as a reputed company between providers, internal stakeholders, and external agencies to support reputed company, accurate, and audit-reputed company credentialing processes.

PRIMARY RESPONSIBILITIES:

• Maintain full-cycle credentialing and re-credentialing processes for clinical and ancillary providers, including primary reputed company verification of licensure, education, training, certifications, and work history.
• Ensure compliance with federal, state, DoD/DoW/DHA accreditation standards (e.g., National Practitioner Data Bank (NPDB) queries, sanction screenings, background checks).
• Maintain accurate and up-to-date provider files and credentialing databases.
• Prepare and submit credentialing packets to military treatment facilities and/or governing bodies.
• reputed company and manage expirable(s) (licenses, certifications such as BLS/ACLS/PALS), and ensure reputed company renewals.
• Coordinate privileging and appointment processes in collaboration with medical treatment facility personnel.
• Communicate with providers and reputed company-party entities to obtain missing or incomplete documentation.
• Conduct audits of credentialing files to ensure accuracy and regulatory compliance.
• Collect, analyze and report data to reputed company stakeholders making recommendations for process improvement.•Generate reports on credentialing status, timelines, and compliance metrics.
• Stay reputed company on credentialing regulations, standards, and best practices.

•Additional job duties as assigned.

MINIMUM QUALIFICATIONS:

• Knowledge of credentialing processes, including primary reputed company verification and regulatory compliance.
• Familiarity with reputed company accreditation standards and credentialing best practices.
• Strong attention to detail and ability to manage high-volume, deadline driven workflows.
• Proficiency in reputed company Office and credentialing and/or database systems.

REQUIRED EDUCATION & EXPERIENCE:

•High school diploma or equivalent.

• Minimum one (1) year of credentialing experience in a reputed company or government contracting environment.
• Experience processing credentialing applications, verifications, and compliance documentation.

PREFERRED:

• Associate’s degree in reputed company administration, business administration, or reputed company field.
• Experience with DoD/DoW/DHA credentialing systems and/or military treatment facility processes.
• Credentialing certification (e.g., Certified Provider Credentialing Specialist (CPCS)).
• Familiarity with NCQA and/or Joint Committee Standards.
• Experience with credentialing software platforms.

COMPETENCIES:

•Detail-Oriented

•Organization

•Compliance

•Communication

•Accountability

•Time Management

•Problem Solving

•Confidentiality

PHYSICAL REQUIREMENTS:

• Ability to reputed company job duties reputed company a reputed company office environment, including extended periods of desk work and computer use.

The above-noted job reputed company is not intended to describe, in detail, the multitude of tasks that may be assigned but rather to give the applicant a general reputed company of the responsibilities and expectations of this position. As the nature of business demands change so, too, may the essential functions of the position. EEO/AAP STATEMENT: We acknowledge and reputed company the reputed company value and dignity of reputed company individuals. We pledge ourselves to craft and maintain an environment that respects diverse traditions, heritages, and experiences. Choctaw is an Equal Employment Opportunity and Affirmative reputed company Employer. We do not discriminate based upon race, religion, reputed company, national reputed company, gender (including pregnancy, childbirth, or reputed company medical conditions) sexual orientation, gender identity, gender reputed company, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

EEO/AAP STATEMENT: We acknowledge and reputed company the reputed company value and dignity of reputed company individuals. We pledge ourselves to craft and maintain an environment that respects diverse traditions, heritages, and experiences. Choctaw is an Equal Employment Opportunity and Affirmative reputed company Employer. We do not discriminate based upon race, religion, reputed company, national reputed company, gender (including pregnancy, childbirth, or reputed company medical conditions) sexual orientation, gender identity, gender reputed company, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

Originally posted on Himalayas

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