Credentialing Coordinator for Physicians
2 days ago
A Credentialing Coordinator manages and oversees the credentialing process for physicians and other healthcare providers. This ensures that all providers meet regulatory, legal, and organizational requirements to practice medicine in a hospital, clinic, or health system.
Key Responsibilities
- Application Management
- Verify the accuracy and completeness of submitted documents.
- Primary Source Verification
- Check education, training, residency, board certifications, state licenses, DEA registrations, and work history directly with issuing institutions.
- Ensure no gaps or discrepancies in physician history.
- Regulatory Compliance
- Maintain compliance with Joint Commission (JCAHO), NCQA, CMS, and state/federal regulations.
- Ensure ongoing credentialing and re-credentialing at required intervals (usually every 2-3 years).
- Medical Staff Committee Support
- Prepare files and reports for Medical Staff Credentialing Committees.
- Communicate committee decisions back to physicians and hospital administration.
- Database & Record Management
- Maintain accurate credentialing databases (e.g., CAQH, Echo, Cactus, or MD-Staff systems).
- Track expirations of licenses, certifications, malpractice insurance, etc.
- Liaison Role
- Serve as the contact person between physicians, hospital administration, and insurance payers regarding credentialing status.
- Assist physicians with payer enrollment and privileging requirements.
**Job Types**: Full-time, Permanent
Pay: ₹30,000.00 - ₹50,000.00 per month
**Benefits**:
- Health insurance
- Provident Fund
**Education**:
- Bachelor's (required)
Work Location: In person
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