Medical Credentialing Coordinator

Insight Global is looking for a Medical Staff and Credentialing Coordinator to join one of their largest clients in the San Francisco Bay Area. This position involves the development, implementation and monitoring of effective and efficient systems to facilitate all aspects of medical staff services and credentialing. Provides for the processing of applications and verification of physician licensing and certifications. The role may also involve the preparation of agendas and related materials for medical staff meetings and peer review activities. May serve as the liaison between the medical staff and all hospital departments to coordinate and provide overall continuity of medical staff activities. Monitors compliance with medical staff bylaws, rules, regulations, policies and procedures.ResponsibilitiesOversee ED Call Schedule and manage committee meetings, including minutes, agendas, and schedulingScreen and pre-vet applicants, ensuring all credentialing data is accurate and completeEnter and maintain provider data in credentialing systems (Cactus, ECHO)Audit completed credentialing applications and route files for departmental approvalPrepare credentialing files for committee review/approval and ensure compliance with bylaws and accreditation standards (TJC, NCQA, CMS, state/federal regulations)Assist with OPPE/FPPE competency data and track expiring licenses/certificationsQualificationsMinimum 3 years of experience in credentialing, compliance, audit, or healthcare administrationBachelor's degree in a related field or equivalent experience/trainingProficiency in Cactus and ECHO credentialing systems, Microsoft Office Suite, and data managementStrong analytical, multitasking, and problem-solving skills with the ability to work under deadlinesAbility to collaborate across departments and effectively communicate with stakeholderCertification RequirementsMust obtain Certified Provider Credentialing Specialist (CPCS) or Certified Professional Medical Services Management (CPMSM) within 18 months of hire

Created: 2025-02-22