How To Become a Credential Coordinator

A credentialing coordinator ensures that all employees at a medical center, hospital, or other healthcare facility have the proper certification, license, or credential to practice. In this career, you make sure that, for example, a physician is board-certified and legally able to practice medicine at the facility. You act as a conduit between a healthcare provider and medical staff and administrators to verify legal compliance and to maintain accurate records of all staff. Your duties and responsibilities also include answering questions from staff, providers, and customers about the credentialing process and what credentials staff members possess.

To become a credentialing coordinator, you need to have a high school diploma or GED certificate. In addition to educational qualifications, employers seek candidates who have at least two years of experience in the healthcare or medical field, preferably in a credentialing role.
  1. High school diploma, GED, or suitable equivalent.
  2. 2+ years of credentialing experience with hospital medical staff.
  3. NAMSS Certification as a Certified Professional Medical Services Manager (CPMSM) or Certified Provider Credentials Specialist (CPCS).

Credentialing Specialist Role & Responsibilities

What does a credential coordinator do?

A credential coordinator performs a variety of administrative tasks. While they manage the credentialing process, they also help people better understand it. Knowing the exact duties of a credential coordinator can help you better understand what the role entails and whether or not you want to pursue it. Here are some of a credential coordinators common duties:

What is a credential coordinator?

A credential coordinator is an individual who handles the credentialing process for healthcare practitioners. They ensure employees at a healthcare facility like a medical center or a hospital have the required certification, license or credential to practice. For example, they can ensure a physician has their board certification and has the legal ability to practice medicine at a healthcare facility. Essentially, they verify legal compliance and maintain accurate records for all members of a healthcare staff.

Work environment for a credential coordinator

Credential coordinators work in a variety of environments such as medical offices, hospitals or for an insurance company. You can find them working in front of computer in an office setting. They have a fast-paced job that involves interaction with a variety of people including employees and medical personnel.

Skills for a credential coordinator

As a credential coordinator, its important to have a certain set of skills in order to perform your job successfully. Here are skills you need as a credential coordinator:

How to become a credential coordinator

In order to become a credential coordinator, you need to meet certain education requirements. Use these steps to help you earn a position as a credential coordinator:

1. Earn a high school diploma or GED

As a credential coordinator, you need a high school diploma or its equivalent at a minimum. Pursue this education requirement and improve your skills through your various classes. While your English or public speaking classes can help you improve your communication skills, your computer classes can improve your computer literacy.

2. Consider an associate degree

While its not required, some employers may prefer their credential coordinator candidates with an associate degree in a relevant field such as business administration. Consider pursuing an associate degree to gain valuable knowledge and improve your candidacy for this role.

3. Pursue your certification

Continue improving your skills and gaining experience as a credential coordinator if you want to pursue a career as a credential specialist. To become a credential specialist, you need a specialist certification from the National Association of Medical Staff Services. In order to pursue this certification, you need at least five years of medical services experience.

Frequently asked questions

Use these frequently asked questions to learn more about the credential coordinator career:

How much does a credential coordinator earn?

What are jobs similar to that of a credential coordinator?

Jobs similar to that of a credential coordinator include a credential specialist, credentialing specialist and a credentialing and provider enrollment specialist.

Whats the difference between a credential coordinator and a credential specialist?

While both jobs have similar job duties and training, a credential specialist is an often more advanced profession. Its also worth noting that credential coordinators typically report to certification specialists.

FAQ

How do I become a good credentialing coordinator?

Attention to detail: Credential coordinators need a strong attention to detail as they review a variety of important information involved in the credentialing process. Being detail-oriented ensures they correct any inaccurate data or information.

How do I get experience in credentialing?

How to become a Credentialing Specialist
  1. Complete your education. The typical minimum requirement to become a credentialing specialist is a two-year associate degree in business administration or healthcare. …
  2. Join a professional organization. …
  3. Consider further education.

What is the difference between being credentialed as a care coordinator and being certified?

A care coordinator who is “credentialed” has been appointed to work in the field of care management. Certification is a process whereby a person must prove that they have completed the necessary pre-requisite education by taking and passing a certification exam.

How much does a credentialing coordinator make in California?

Average base salary

The average salary for a credentialing coordinator is $23.15 per hour in California.

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