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AC

Credentialing Coordinator

APN Consulting Inc
  • 🇺🇸 United States
  • Remote
  • 7 hours ago
  • ServiceNow
  • AI/ML
  • Regulatory Compliance
  • Excel
  • Outlook
7 hours ago
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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.

Credentialing Coordinator · APN Consulting Inc

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