Credentialing Coordinator

Delta Health Center
  • Mound Bayou, Mississippi
    7 days ago

    Job Description

    Delta Health Center (DHC), located in historic Mound Bayou, MS, is one of the nation’s oldest community health centers. As a Federally Qualified Health Center (FQHC), DHC is committed to providing high-quality, affordable health care to underserved communities. We proudly serve patients across the Mississippi Delta with compassion, respect, and a deep sense of community responsibility within our clinic system.

    Position Summary: Credentialing Coordinator
    The Credentialing Coordinator plays a vital role in maintaining compliance and quality assurance within the healthcare organization. This essential, onsite position is responsible for verifying and processing credentials for medical professionals, ensuring all documentation meets regulatory, accreditation, and institutional standards.

    Key Responsibilities:
    • Credentialing Management: Manage and execute the initial credentialing and re-credentialing processes for physicians, nurses, and allied health professionals.
    • Documentation Verification: Collect, verify, and maintain critical documentation such as licenses, certifications, insurance, records, and clinical documentation.
    • Coordination: Coordinate effectively with internal departments (e.g., HR, Finance) and external agencies (e.g., State Boards, insurance payers) to ensure timely credentialing.
    • Monitoring and Renewals: Monitor expiration dates meticulously and proactively initiate renewal and re-appointment processes to ensure continuous compliance and service delivery.
    • Database Maintenance: Maintain accurate and up-to-date records in credentialing databases and systems.
    • Compliance: Ensure compliance with federal, state, and relevant accreditation standards (e.g., NCQA, JCAHO/The Joint Commission).
    • Inquiries & Support: Respond to inquiries from providers and staff regarding credentialing status, requirements, and policies.
    • Reporting: Prepare accurate reports and documentation for internal reviews, audits (including HRSA/FQHC requirements), and internal quality committees.

    Requirements:
    Skills and Qualifications
    • High school diploma or equivalent (Associate’s or Bachelor’s degree preferred).
    • A minimum of two (2) years of experience in credentialing or healthcare administration is required.
    • Strong attention to detail and exceptional organizational skills.
    • Excellent communication skills, both written and verbal, for effective interaction with providers and external entities.
    • Proficiency in credentialing software and Microsoft Office Suite (Word, Excel).
    • Solid knowledge of healthcare regulations and credentialing standards.
    Required Qualifications (Experience)
    • Experience with common credentialing databases.
    • Familiarity with insurance provider enrollment processes.

    Benefits:
    • 401(k) matching
    • Dental insurance
    • Employee discount
    • Health insurance
    • Life insurance
    • Paid time off
    • Vision insurance


    Requirements

    Requirements:

    Skills and Qualifications

    • High school diploma or equivalent (Associate’s or Bachelor’s degree preferred).

    • A minimum of two (2) years of experience in credentialing or healthcare administration is required.

    • Strong attention to detail and exceptional organizational skills.

    • Excellent communication skills, both written and verbal, for effective interaction with providers and external entities.

    • Proficiency in credentialing software and Microsoft Office Suite (Word, Excel).

    • Solid knowledge of healthcare regulations and credentialing standards.

    Required Qualifications (Experience)

    • Experience with common credentialing databases.

    • Familiarity with insurance provider enrollment processes.


    Benefits

    Benefits:

    • 401(k) matching

    • Dental insurance

    • Employee discount

    • Health insurance

    • Life insurance

    • Paid time off

    • Vision insurance




    Numbers & Facts

    LocationMound Bayou, Mississippi
    Websitehttps://deltahealthcenter.org/

    Skills

    • Accreditation Standardsunmatched
    • Clinical Information Systemsunmatched
    • Clinical Study Publicationsunmatched
    • Communication Skillsunmatched
    • Community Healthunmatched
    • Database Administrationunmatched
    • Dental Insuranceunmatched
    • Detail Orientedunmatched
    • Documentationunmatched
    • Financeunmatched
    • Health Insuranceunmatched
    • Healthcareunmatched
    • Healthcare Administrationunmatched
    • Healthcare Qualityunmatched
    • High School Diplomaunmatched
    • Insuranceunmatched
    • Insurance Certificationsunmatched
    • Internal Auditunmatched
    • Maintain Complianceunmatched
    • Medical Recordsunmatched
    • Microsoft Excelunmatched
    • Microsoft Officeunmatched
    • Microsoft Wordunmatched
    • National Committee for Quality Assurance (NCQA)unmatched
    • Nursingunmatched
    • Organizational Skillsunmatched
    • Physician Credentialunmatched
    • Presentation/Verbal Skillsunmatched
    • Quality Assuranceunmatched
    • Regulationsunmatched
    • Reporting Skillsunmatched
    • Service Deliveryunmatched
    • The Joint Commission (TJC)unmatched
    • Time Managementunmatched
    • Vision Planunmatched
    • Writing Skillsunmatched

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