Credentialing Coordinator

Description

Build and maintain a successful working relationship between Client and network practitioners to

ensure a stable and qualified practitioner network. Facilitate successful activation and maintenance of practitioners

by performing initial credentialing, ongoing monitoring, and recredentialing processes of all required network

practitioners in accordance with industry standards. Communicate daily with outsourced vendors, healthcare facility

points of contact/professionals, as well as with internal staff to maintain a detailed and compliant practitioner

credentialing file. As part of the Credentialing Team, ensure the practitioner network meets or exceeds quality,

contract, and credentialing expectations to foster continued quality improvement and risk management efforts.

Identify and document credentialing, compliance and contract requirements as they enroll in their

network, including the creation and maintenance of practitioner records within databases.

Initiate credentialing processes, retrieve, verify/ follow up on all credentialing applications and supporting

documentation needed for their practitioner network. Ensure credentialing applications are

complete, data integrity is intact within databases to meet requirements for primary source verification and

industry standards.

Perform quality reviews on credentialing files throughout each credentialing cycle.

Monitor and facilitate complete and accurate re-credentialing of practitioners on a 3-year cycle.

Act as the liaison between the practitioner network and internal departments to troubleshoot issues or

answer any questions/concerns.

Ongoing monitoring of credentialed network for accuracy or any change in status to include regular internal

practitioner record audits.

Submit appropriate practitioner records to CVO (Certified Verification Organization) or other credentialing

vendor, if applicable. Retrieve and review CVO or other credentialing vendor files as completed, if

applicable.

Schedule and act as facilitator/recorder of credentialing committee meetings on all credential files in need

of review. Notify practitioners of decisions.

Submit background checks as required on credentialed practitioners to contracted vendor. Retrieve and

review the completed background check reports as part of the credentialing packet.

Update practitioner statuses as applicable based on the credentialing committee decisions.

Typical Day

A typical day includes a mix of:

Managing a shared inbox

Reviewing current workload and follow-up items

Processing new credentialing cases

Responding to practitioner emails

Supporting the credentialing call queue

Handling inbound and outbound phone calls

Updating records and case statuses

Call Volume

Approximately 15-20 calls per day

Calls may interrupt ongoing work, so flexibility and prioritization are critical

Skills

credentialing, outbound calls, Process documentation, outlook, high attention to detail, Health information technology

Top Skills Details

credentialing,outbound calls,Process documentation,outlook,high attention to detail

Additional Skills & Qualifications

Required:

Associates Degree in Health Information Technology, Business or related field (health care emphasis

preferred) combined with a minimum 1-year credentialing or healthcare experience required

Equivalent combination of education, experience and/or applicable military experience will be considered

Knowledge of healthcare terminology, electronic file/database management

Proficient telephone skills

Credentialing Coordinator Page 2 of 2

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Database experience

Proficient in effectively using Microsoft Office programs

Excel experience (spreadsheet creation and use of basic functions and formulas)

Proficient in working with electronic files and documents

Ability to perform detailed work with a high degree of accuracy

Ability to think analytically, multi-task, and practice effective time management skills

Ability to work independently, as well as with a team

Ability to navigate multiple websites and databases

Ability to demonstrate an appropriate level of assertiveness in performing work responsibilities under tight

deadlines

Strong analytical thinking, multi-tasking, organizational and time management skills

Excellent professional verbal and written communication skills and ability to effectively communicate with a

diverse group of individuals/teams at all levels of an organization

Ability to work independently as well as with a team

Excellent problem-solving skills and ability to propose solutions in a fast-paced environment

Ability to effectively manage time and reprioritize workload based on rapidly changing internal and external

customer needs

Preferred:

Certified Provider Credentialing Specialist (CPCS) through the National Association Medical Staff Services

National Career Readiness Certificate

Familiarity with NCQA credentialing standards. Knowledge of practitioner credentialing and primary source

verification of medical/dental licensure

Experience Level

Intermediate Level

Job Type & Location

This is a Contract position based out of Milwaukee, WI.

Pay and Benefits

The pay range for this position is $19.50 - $19.50/hr.

Individual compensation offered for this position within this range will depend on many factors, including qualifications, skills, relevant experience, job knowledge, geographic location, internal equity, and other pertinent job-related factors.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: Medical, dental & vision Critical Illness, Accident, and Hospital 401(k) Retirement Plan Pre-tax and Roth post-tax contributions available Life Insurance (Voluntary Life & AD&D for the employee and dependents) Short and long-term disability Health Spending Account (HSA) Transportation benefits Employee Assistance Program Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type

This is a fully remote position.

Application Deadline

This position is anticipated to close on Oct 22, 2026.

About TEKsystems

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

Were a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. Were a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. Were strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. Were building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.