Job Description

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 Collect and process physician applications for medical staff privileges. 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