What are the responsibilities and job description for the Credentialing Coordinator position at Loudoun Medical Group?
Company Overview
Loudoun Medical Group (LMG) is one of the largest and most diverse physician-owned, multi-specialty group practices in the region. With a commitment to delivering high-quality patient care and personalized service, we support over 175 providers across 23 specialties in 71 locations. Our mission is to provide exceptional healthcare services while fostering a balanced lifestyle for our physicians and staff.
Summary
We are seeking a Credentialing Coordinator to join our team in the United States. Based in Loudoun County, this role is vital in ensuring our healthcare providers meet all credentialing requirements, supporting our mission to deliver top-tier medical care. The Credentialing Coordinator will play a key role in maintaining compliance with industry standards and enhancing our operational efficiency.
Responsibilities
- Processing initial credentialing and re-credentialing applications.
- Verifying, processing, and maintaining provider CAQH profiles.
- Tracking and updating the expiration of certifications, license, DEA, and other credentials.
- Utilizing systems to track required licensure and other credentials to ensure new applications and renewals are submitted and completed in a timely fashion.
- Adhere to established procedures that ensure license and hospital privileging applications are accurately and properly completed, verified, and uploaded to the web-based system.
- Capturing primary source documentation in computer databases.
- Responding to health plan provider inquiries.
- Preparing and completing necessary forms, reports, lists, etc. to ensure accurate and timely payment from third-party payors.
- Screening practitioners' applications and supporting documentation to ascertain their eligibility for managed care credentialing.
- Collecting information from the National Practitioner Data Bank (NPDB), the applicant and their malpractice insurer, and other relevant sources.
- Identifying discrepancies in information and conducting follow-ups.
- Consistently demonstrating the knowledge, skills, abilities, and behaviors necessary to provide superior service.
- Providing reports to department lead and other management staff on status of outstanding items or projects.
- Perform other related duties as assigned.
Qualifications
- Bachelor’s Degree preferred or equivalent work experience.
- Solid knowledge and a minimum of one year of state medical licensing and/or hospital privileging requirements.
- Proven track record of successful change and adoption outcomes with stakeholders and end user experiences.
- Strong organizational and time management skills
- Strong accuracy and attention to details
- Excellent verbal and written communications skills
- Strong proficiency in Microsoft Office Suite
- Must be able to learn, understand, and apply new technologies as needed
- Exceptional customer service skills
- A high level of detail orientation and multi-tasking ability
- Self-motivated and achieve goals
- Able to “think outside the box” to solve problems
- Strong proficiency in Microsoft Office Suite.
Join our dedicated team at Loudoun Medical Group and contribute to shaping the future of healthcare delivery. If you are passionate about healthcare administration and thrive in a dynamic environment, we want to hear from you—apply now to become part of our mission-driven organization.
Pay: $24.67 - $31.25 per hour
Expected hours: 40.0 per week
Benefits:
- 401(k)
- AD&D insurance
- Dental insurance
- Disability insurance
- Employee assistance program
- Employee discount
- Flexible schedule
- Free parking
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Work Location: In person
Salary : $25 - $31