Credentialing Coordinator
Kforce Inc

Job Info

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RESPONSIBILITIES:

Kforce has a client in Conshohocken, PA that is seeking a Credentialing Coordinator.Summary:The Credentialing Coordinator is responsible for ensuring all providers are processed/credentialed prior to start date (i.e. Credentialing support of Employment, Hospital, and Licensing Applications). The Credentialing Coordinator will also maintain communication with Internal/External customers (MSO's, Client Service, State Boards) ensuring accuracy of the Applications (its Affiliates, Managed Entities etc.) and creating efficiency for the on-boarding process.Essential Duties & Responsibilities:

• The Credentialing Coordinator will complete and review with accuracy and thoroughness all new hires and additional locations/boards for credentialing and re-credentialing applications within timeframe
• Responsible for notification to appropriate parties once received
• Responsible for ensuring the MSO (Medical Staff Offices) credentialing database is updated and current
• The Credentialing Coordinator will ensure primary source verifications occur for internal processing as well as external customers (i.e. MSO's & State Boards)
• Provide timely follow-up to obtain documentation required
• Credentialing (within 180 days) & re-credentialing within 36 months
• Coordinate internally to ensure complete information is received
• Credentialing Coordinator will ensure credentialing & re-credentialing is processed in accordance with NCQA and company standards

REQUIREMENTS:

• Good organizational skills
• Communicate and work well in a team environment
• Meet established production and quality goals/metrics
• Follow up in a timely manner on open items
• Candidates qualifying for this position will have similar experience along with the skills and abilities to perform the duties mentioned
• Any relevant education and/or training will be considered a plus

Kforce is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.

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