Credentialing Coordinator

The Credentialing Coordinator provides foundational support for the credentialing, re-credentialing, and continuous monitoring processes within Privia’s medical group. This entry-level role focuses on administrative accuracy, ensuring that provider data is meticulously maintained and that initial inquiries are handled efficiently. By managing the early stages of the credentialing lifecycle, including Salesforce ticket triage and expirable tracking, this position ensures that our providers can focus on delivering high-quality care without administrative delays.

Primary Job Responsibilities: 

• Manage and resolve Tier 1 Salesforce cases by addressing basic provider inquiries and document requests.
• Monitor the renewal of expirables such as licenses, certifications, and COIs to ensure providers remain in good standing.
• Support the Primary Source Verification process for both initial applicants and re-credentialing cycles.
• Maintain accurate provider profiles within CAQH and internal credentialing databases.
• Track and record departmental statistics to help the team monitor workflow and productivity.
• Facilitate the flow of information between internal departments to resolve administrative issues.
• Prepare and coordinate basic reports under the direct supervision of the department manager.
• Adhere to all documented processes that align with NCQA, CMS, and state regulatory requirements.
• Handle all practitioner information with strict confidentiality.
• Other duties as assigned.