Credentialing Coordinator

Credentialing Coordinator Healthcare

Washington DC

Pay From: $25 Per hour

• 2 recent years of recent healthcare credentialing experience including maintaining and tracking staff licenses, malpractice insurance and health screens
• Ensuring that staff licenses are current and up to date thru the credentialing database
• Confirming that staff are renewing licensure prior to and health screens in a timely manner
• Providing administrative and onboarding support to the manager
• Experience reviewing certifications and licenses of healthcare staff and confirming they are up to date
• Entering and terminating staff in the credentialing database-Modio experience a plus
• Updating credentialing database with current licensure and health screen documents
• Communicating with healthcare staff regarding upcoming expiration dates
• Experience ensuring that clinical staff meet established NCQA standards as well as federal and state regulations
• Proficiency with MS Office including Word, Excel, and Power Point
• Bachelor's Degree preferred HS diploma required

• Maintain and track licensure of clinical staff and update as needed
• Enter and terminate staff in credentialing database
• Confirm that malpractice insurance is up to date
• Create spread sheets of when licensure or documents are expiring and notify staff of upcoming expirations and update documents as received
• Send out monthly notifications to remind them of upcoming expirations
• Update the credentialing database with current documents during initial and re-credentialing cycles
• Maintain all activities related to Other Licensed Certified Professionals (OLCPs) and clinical staff including initial credentialing and re-credentialing functions.
• Ensure that healthcare staff meet all established federal and state regulations, as well as NCQA standards.
• Send out monthly notifications regarding license/certification expirables
• Manage and monitor Certified/Registered MAs' certifications and send out 90/60/30 day reminders regarding their expiration surrounding their certifications
• Assist providers with inquiries regarding their credentialing and re-credentialing documents
• Assist with Primary Source Verification (PSV) and the collection of any outstanding documents
• Review provider files in preparation for audits
• Organized and update documents and presentation for meetings
• Handle any other duties as required

Quadrant is an affirmative action/equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, status as a protected veteran, or status as an individual with a disability.

"Healthcare benefits are offered to all eligible employees according to compliance mandated by the Affordable Care Act".