Credentialing Coordinator

Job not on LinkedIn

🔥 12 hours ago

🇺🇸 United States – Remote

💵 $32 - $45 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Sharp HealthCare

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1946

🏥 Healthcare

🧘 Wellness

Healthcare • Nursing • Wellness

Sharp HealthCare is a healthcare organization dedicated to providing high-quality medical services to patients and families. With a commitment to innovation, safety, and excellence, Sharp HealthCare offers a range of career opportunities in nursing, clinical support, administration, and various medical specialties. The organization emphasizes a collaborative work environment and is recognized for its nursing excellence, aiming to advance the science of medicine alongside compassionate patient care.

📋 Description

• Perform credentialing, re-credentialing, primary source verification, and ongoing monitoring of providers affiliated with Sharp HealthCare • Maintain timely, complete, and accurate electronic credentialing files for assigned providers • Analyze applications for completeness and required documentation; follow up on missing data and adverse elements • Examine verification results against applications and curricula vitae; investigate discrepancies and misstatements through resolution • Maintain current credentials in the credentialing database and track application status • Respond to internal and external customers by email and phone while providing effective communication and customer service • Meet established procedures and key performance indicators • Identify and initiate continuous quality and process improvements • Participate in huddles, meetings, performance improvement, initiatives, automation, and credentialing training • Maintain compliance with accreditation standards, state and federal regulations, policies, and bylaws • Develop and adhere to reliable departmental processes, policies, and procedures • Troubleshoot issues and resolve barriers using available resources

🎯 Requirements

• H.S. Diploma or Equivalent • 3 Years experience in hospital and/or healthcare credentialing • Bachelor's Degree or equivalent work experience (preferred) • Certified Provider Credentialing Specialist (CPCS) certification (preferred) • Certified Professional Medical Services Management (CPMSM) certification (preferred) • Database management proficiency required • Data entry skills required • Strong computational and data analytical skills • Strong written and verbal communication skills • Independent critical-thinking and problem-solving skills • High level of confidentiality and data integrity • Ability to independently manage workflow, set priorities, and develop goals and strategies