Credentialing and Privileging Coordinator

Towson; Rockville (MD); Hybrid; USD 70,000 - 90,000; Full time

Job summary

Towson is seeking a Credentialing and Privileging Coordinator to support onsite operations in Rockville, MD. The role focuses on credentialing documentation, stakeholder communication, and compliance with federal requirements in a healthcare setting.

The successful candidate will manage credentialing records, verify primary sources, and coordinate with leadership to prepare files for review and privileging decisions, ensuring timely renewals and cycle tracking.

Qualifications

• Communicating with multiple stakeholders to obtain required credentialing information.
• Verifying and tracking credentialing records and assembling files for privileging.
• Participating in development of credentialing policies and procedures.
• Assessing compliance with federal regulations and healthcare quality standards.

Responsibilities

• Maintaining credentialing records and documentation.
• Responding to inquiries from internal and external stakeholders about credentialing requirements.
• Tracking credential renewals, expirations, and privileging cycles.
• Preparing credentialing files for leadership review and panels.
• Conducting primary source verification of credentials, licenses, registrations, and training.
• Applying federal and program-specific requirements to credentialing and privileging processes.

Skills

Stakeholder communication

Credentialing tracking

Document preparation

Policy development

Job description

Credentialing and Privileging Coordinator

***THIS POSITION IS NOT REMOTE. ONLY ONSITE***

***Few vacancies in the following location:

***PLEASE READ THE ENTIRE USAJOBS ANNOUNCEMENT.***

***This is not an entry level position.***

WHAT YOU'LL BE DOING DAY TO DAY

As an Credentialing and Privileging Coordinator , you will use your knowledge and experience to optimize business results and customer experience by:

• Maintaining and analyzing credentialing records and documentation.
• Responding to inquiries from internal partners, program officials, and external stakeholders regarding credentialing requirements, processes, and documentation needs.
• Tracking credential renewals, certification expirations, and privileging cycles.
• Preparing credentialing and privileging files for review by program leadership and review panels.
• Conducting primary source verification of credentials, including licensure, registrations, certifications, education, and training.
• Applying federal, agency, and program-specific requirements related to credentialing, privileging, assignment eligibility, and qualification standards.

Qualifications

WHAT WE ARE LOOKING FOR

Minimum Qualifications: You must have one year specialized experience to perform successfully the duties of the position. To be creditable, specialized experience must have been equivalent to at least the GS-11 grade level in the Federal service performing ALL of the following:

• Communicating with multiple stakeholders who have varied backgrounds and expertise to obtain information and documents that are required for the privileging process and notifying stakeholders in writing about the outcome of the credentialing and privileging process.
• Verifying and tracking credentialing and privileging documents and assembling files for licensed independent practitioners for privileging consideration and determination.
• Participating in the development of documents, including written policies and procedures, that are used for credentialing and privileging medical staff in a healthcare organization.
• Assessing program compliance with federal regulations and national health care quality organization standards.