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Credentialing Coordinator

APN Consulting Inc

Jackson Township, New Jersey • 2d ago

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Contract, Third Party

$21

Job Details

Skills

CREDENTIALING COORDINATOR
CREDENTIALING SPECIALIST
PROVIDER CREDENTIALING SPECIALIST
CREDENTIALING ANALYST
MEDICAL STAFF COORDINATOR
CREDENTIALING
RECREDENTIALING
PRIMARY SOURCE VERIFICATION
PSV
NCQA
LICENSURE
PROVIDER VERIFICATION

Summary

APN Consulting, Inc. is a progressive IT staffing and services company offering innovative business solutions to improve client business outcomes. We focus on high impact technology solutions in ServiceNow, Fullstack, Cloud & Data, and AI / ML. Due to our globally expanding service offerings we are seeking top-talent to join our teams and grow with us.

Role: Credentialing Coordinator
Location : R emote
Duration: 12/31/26

Position Summary
The Credentialing Coordinator will contribute with the processing of Credentialing applications, obtaining and completing verification of practitioners' experience, state licensure, Drug Enforcement Administration (DEA) registration, Board Certification, etc. according to National Committee for Quality Assurance (NCQA), state and federal requirements.

Role and Responsibilities

Responsible for timely processing of initial credentialing applications for completeness.

Able to act independently to review and assess provider applications for completion, identify credentialing concerns, and request appropriate follow-up information from practitioner(s) or other sources as needed.

Completes primary source verification and credentialing in accordance with regulatory and NCQA accreditation standards and guidelines.

Responsible for quality and integrity of provider files. Ensure files are maintained according to internal quality and security policies.

Skill Requirements/Preferences

Knowledge/experience with MD-Staff Credentialing Database preferred.

Strong organizational skills, including time management and ability to manage high-volume work queue.

Working knowledge of NCQA Standards and Guidelines in Credentialing/Recredentialing and other regulatory/compliance requirements preferred.

Intermediate computer skills in Microsoft Excel, Outlook, and Word preferred.

We are committed to fostering a diverse, inclusive, and equitable workplace where individuals from all backgrounds feel valued and empowered to contribute their unique perspectives. We strongly encourage applications from candidates of all genders, races, ethnicities, abilities, and experiences to join our team and help us build a culture of belonging.

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Dice Id: 10123488
Position Id: 26-15087
Posted 2 days ago

Fitment

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Job Details

Skills

CREDENTIALING COORDINATOR
CREDENTIALING SPECIALIST
PROVIDER CREDENTIALING SPECIALIST
CREDENTIALING ANALYST
MEDICAL STAFF COORDINATOR
CREDENTIALING
RECREDENTIALING
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Summary

Responsible for timely processing of initial credentialing applications for completeness.

Able to act independently to review and assess provider applications for completion, identify credentialing concerns, and request appropriate follow-up information from practitioner(s) or other sources as needed.

Completes primary source verification and credentialing in accordance with regulatory and NCQA accreditation standards and guidelines.

Responsible for quality and integrity of provider files. Ensure files are maintained according to internal quality and security policies.

Skill Requirements/Preferences

Knowledge/experience with MD-Staff Credentialing Database preferred.

Strong organizational skills, including time management and ability to manage high-volume work queue.

Working knowledge of NCQA Standards and Guidelines in Credentialing/Recredentialing and other regulatory/compliance requirements preferred.

Intermediate computer skills in Microsoft Excel, Outlook, and Word preferred.

Dice Id: 10123488
Position Id: 26-15087
Posted 2 days ago

Fitment

Dice Job Match Score™

To see how well you match this job, please log in or create an account.

Once logged in, be sure to complete your profile to get the most accurate match score.

Create job alert

Never miss an opportunity! Create an alert based on the job you applied for.

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