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Provider Credentialing Coordinator

US Tech Solutions
Cumberland, RI Full Time
POSTED ON 4/18/2025
AVAILABLE BEFORE 5/17/2025

Job Summary

We are seeking a highly skilled Provider Credentialing Coordinator to join our team. The successful candidate will be responsible for coordinating the credentialing process for medical professionals, ensuring timely and accurate processing of applications and maintaining system updates.

This is an exciting opportunity for someone who enjoys working in a fast-paced environment and has a strong attention to detail.

Key Responsibilities

  • Monitor provider and clinic change/termination reports and update databases accordingly
  • Support payer audits in accordance with client, Joint Commission, and NCQA requirements
  • Maintain provider files with current information and documentation

Requirements

  • Demonstrated understanding of initial credentialing and re-credentialing practices
  • Proficient in quantitative analysis
  • Knowledge of Joint Commission Accreditation, NCQA, and URAC credentialing standards
  • A minimum of 3 years of experience in the healthcare industry with credentialing experience

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