Credentialing Specialist — Health Care Data & Compliance

Trinity Health; Livonia (MI); On-site; USD 45,000 - 65,000; Full time

Job summary

Trinity Health is seeking a Credentialing Coordinator to support the credentialing process for RHMs. The role involves assisting with data entry, verifications, and maintaining the physician database in the CVO module, ensuring timely completion of credentialing requirements.

The position emphasizes confidentiality, accuracy, and adherence to NCQA and TJC standards, with collaboration across the credentialing team and management for process improvements.

Qualifications

• Strong communication skills with patients, applicants, and colleagues.
• Analytical and problem-solving abilities to support credentialing decisions.
• Ability to work autonomously with attention to detail and accuracy.
• Experience with data entry and maintaining provider databases.
• Familiarity with NCQA, TJC standards, and credentialing processes.

Responsibilities

• Assists the Manager in identifying and scheduling reappointment candidates.
• Performs file audits and provides feedback on credentialing files.
• Assists in training and orientation of new team members.
• Maintains confidentiality of patient and provider information.
• Communicates with applicants and RHMs to complete credentialing requirements on time.

Skills

Communication skills

Analytical skills

Problem solving

Organizational skills

Attention to detail

Education

Associates degree in health administration or related field

Two years of post-high school education or training

Tools

Database management

Windows-based software

Job description

Trinity Health is seeking a Credentialing Coordinator to support the credentialing process for RHMs. The role involves assisting with data entry, verifications, and maintaining the physician database in the CVO module, ensuring timely completion of credentialing requirements.

The position emphasizes confidentiality, accuracy, and adherence to NCQA and TJC standards, with collaboration across the credentialing team and management for process improvements.