Medical Credentialing Coordinator

🔥 8 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

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Logo of Curana Health

Curana Health

1001 - 5000 employees

🤝 B2B

⚕️ Healthcare Insurance

B2B • Healthcare Insurance

Curana Health is a healthcare provider focused on senior primary care and on-site clinical services in skilled nursing and senior living communities. The company partners with operators, payors, and Medicare Advantage plans to implement value-based care models, offering physician-led care teams, medical director services, care coordination (including RPM and APCM), behavioral health, and palliative care. Curana emphasizes reducing hospital readmissions, falls, and polypharmacy while improving resident satisfaction through integrated, community-based care supported by technology and payor partnerships.

📋 Description

• Manage the credentialing and re-credentialing processes for physicians, nurses, and allied health professionals. • Verify licenses, certifications, education, training, and work history to ensure providers are fully qualified. • Maintain accurate and complete credentialing files, ensuring all staff are cleared before providing care. • Stay current on federal, state, and accreditation requirements (CMS, Joint Commission, NCQA, etc.). • Track expiration dates for licensure, certifications, and accreditations to ensure seamless renewals. • Safeguard provider and facility compliance with healthcare laws and standards at all times. • Maintain up-to-date credentialing databases and systems. • Create reports for leadership and regulatory agencies. • Ensure confidentiality and compliance with HIPAA and other privacy regulations. • Serve as the go-to contact for providers, accreditation organizations, and external vendors. • Partner with HR, Medical Staff Services, and leadership to keep credentialing processes on track. • Provide updates and proactive recommendations on credentialing status and timelines.

🎯 Requirements

• High School Diploma or GED required; Bachelor’s degree preferred. • 2–3 years of credentialing, healthcare administration, or related experience. • Background in medical staff services, healthcare compliance, or insurance credentialing a plus. • Solid knowledge of credentialing processes and healthcare compliance. • Strong organizational skills and eye for detail—you don’t let things slip through the cracks. • Comfortable using credentialing databases and related software. • Excellent communicator—clear, professional, and collaborative. • Able to balance multiple priorities while meeting deadlines.

🏖️ Benefits

• Health insurance • 401(k) matching • Paid time off • Remote work options

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