Credentialing Coordinator for Physicians

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