Credentialing Coordinator - 242385

Medix Healthcare:Credentialing CoordinatorContracts (Through October)Location: On-site | Phoenix, AZ 85008Pay: $24–$30/hr (based on experience)2 OpeningsA respected healthcare organization in the Phoenix area is hiring two Credentialing Coordinators to join their team on a contract basis through October. If you're organized, detail-oriented, and passionate about supporting high-quality patient care, this could be the right fit for you. Open Roles:1. Managed Care Initial Credentialing – Open to candidates with light credentialing experience – Great entry point for healthcare credentialing professionals2. Hospital Credentialing – Requires 2+ years of hospital credentialing experience – Note: Vision credentialing experience does not qualify for this roleJob Duties:Process initial credentialing and re-credentialing applications for physicians and allied health providers.Review and analyze applications and credentialing documents for initial credentialing and re-credentialing, assessing completeness of information and qualifications to established standards.Identify and flag adverse information from application materials for the purpose of conducting special follow-up investigations in preparation for Credentials Committee review.Prepare, issue, track and follow-up on appropriate verification letters for adequate processing of each individual application, applying established procedural guidelines.Prepare completed credential files for presentation to Credentials Committee.Process requests to obtain membership and privileges for providers with hospitals.Enter data from provider applications into credentialing database, interpreting or adapting data to conform to defined data field uses.Assist Director in compliance with the accrediting and regulatory agencies (i.e., JCAHO, NCQA) in regards to credentialing while developing and maintaining a working knowledge of the statutes and laws.Internally audit, organize and maintain provider files and information in accordance with established principles of legal documentation, following confidentiality guidelines.Employ public relations skills in a wide variety of contacts with internal and external sources for purposes of soliciting information essential to credentials investigations.Establish and maintain a professional working relationship with providers, their outside office staff, internal staff, and hospital staff.Proficient in the use of Microsoft Word and Excel; NPI (National Practitioner Identification on-line access); National Practitioner Data Bank ; American Board of Medical Specialties; AMA Physician Masterfile on-line access; AOA Physician Profile on-line access; State licensing agencies.Maintain compliance with all company policies and procedures.Other duties as assignedMust-Have System Experience:Simpler (formerly Visual Cactus)MD-StaffMicrosoft Office SuiteNPI RegistryAMA & AOA Physician LookupAmerican Board of Medical SpecialtiesState Licensing PortalsIdeal Candidate Traits:Punctual and dependableDetail-oriented with strong organizational skillsTeam player with excellent communication skillsPay Range:$24–$30/hr$26/hr for candidates meeting the hospital credentialing experience requirement

Created: 2025-06-03