Credentialing Coordinator III

Job Description

Our client is seeking a Scheduler for a contract opportunity for a healthcare organization. The Credentialing Coordinator III is responsible for performing advanced credentialing and recredentialing functions in alignment with standards, federal and state regulatory requirements, and health plan credentialing criteria. This position plays a key role in maintaining the integrity and accuracy of provider data, ensuring compliance, and supporting the timely onboarding and privileging of medical staff and allied health professionals.

This role requires extensive hands-on experience with medical staff credentialing processes, including verification of licensure, board certification, malpractice coverage, and professional references, as well as familiarity with Echo credentialing software.

Essential Duties And Responsibilities

Administer and oversee all aspects of credentialing, recredentialing, and privileging for physicians, allied health professionals, and contracted providers.

Perform primary source verification (PSV) of licensure, board certifications, malpractice claims history, DEA/CDS registrations, and other required credentials.

Maintain, audit, and update provider data in the Echo credentialing system, ensuring accuracy and timeliness of records.

Support Medical Staff leadership and committees by preparing and distributing credentialing reports and ensuring all required documentation is complete before review.

Ensure compliance with regulatory agencies (e.g., Joint Commission, CMS, NCQA) and company’s internal policies.

Liaise with external health plans, auditors, and regulatory bodies during credentialing audits and reviews.

Collaborate closely with physician leaders and department managers to resolve credentialing discrepancies or delays.

Participate in continuous process improvement initiatives to streamline credentialing workflows and reduce turnaround time.

Maintain confidentiality of all provider and organizational information in accordance with HIPAA and company policy.

Required Qualifications

• Minimum of 3 years of recent, hands-on experience in medical staff credentialing or provider enrollment within a hospital or health system setting.
• Echo Credentialing Software proficiency is required.
• Demonstrated experience using Microsoft Teams and Microsoft Office Suite (Word, Excel, Outlook)
• Deep understanding of credentialing standards, bylaws, and accreditation requirements (Joint Commission, CMS, NCQA).
• Working knowledge of medical staff office operations and governance processes.
• Exceptional attention to detail and data accuracy.
• Strong organizational, analytical, and communication skills.
• Ability to work independently under tight deadlines in a fast-paced environment
• Professional demeanor and ability to interact effectively with physicians and administrative leaders.
• Certified Provider Credentialing Specialist (CPCS) certification through NAMSS preferred.
• Experience supporting medical staff committees or working directly with physician leadership in a credentialing office environment.
  
  

Kavaliro provides Equal Employment Opportunities to all employees and applicants. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. Kavaliro is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Kavaliro will take the steps to assure that people with disabilities are provided reasonable accommodations. Accordingly, if reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please respond to this posting to connect with a company representative.