Medical Staff Credentialing Coordinator

Provider Credentialing Coordinator

Temporary to Permanent-Performance driven

Location: Bronx, NY
Setting: Hybrid — 2 days in the office, with flexibility based on business needs
Schedule: Monday–Friday, 8:30 AM–5:30 PM, with a 1-hour lunch

Position Summary

We are seeking an experienced Provider Credentialing Coordinator to support the credentialing and enrollment process for healthcare providers. This individual will help ensure providers remain compliant with applicable credentialing requirements while keeping records, databases, and documentation accurate and up to date.

Key Responsibilities

• Manage and coordinate provider credentialing and re-credentialing activities from initiation through completion.
• Track credentialing requirements and deadlines to ensure timely completion.
• Research and resolve issues that may delay credentialing, re-credentialing, or provider enrollment.
• Handle sensitive and confidential information related to physicians, nurse practitioners, and other healthcare professionals.
• Review provider demographic information and ensure updates are accurate before processing.
• Maintain accurate credentialing databases, files, tracking logs, and supporting documentation.
• Prepare credentialing materials and documentation for committee review.
• Maintain organized records to ensure all provider requirements are current and properly documented.
• Prepare productivity updates and communicate credentialing issues or potential delays to management.
• Stay informed about changes to credentialing policies, standards, and provider enrollment requirements.
• Communicate professionally with providers, internal departments, and external organizations as needed.
• Perform additional duties and projects as assigned.

Qualifications

• Associate’s or Bachelor’s degree preferred; equivalent professional experience will be considered.
• 3+ years of provider credentialing experience required.
• Experience with provider credentialing, enrollment, or re-credentialing within a health plan or healthcare organization strongly preferred.
• Proficiency with Microsoft Office, including Excel, Word, and Outlook.
• Strong organizational skills with the ability to manage multiple priorities and deadlines.
• Excellent attention to detail and ability to maintain accurate records.
• Strong problem-solving and time-management abilities.
• Comfortable reviewing and preparing professional correspondence using email and word-processing applications.
• Excellent written and verbal communication skills.
• Professional, dependable, and service-oriented approach.