CREDENTIAL COORDINATOR
Name
Email
LAST 4 OF SSN
This checklist was electronically signed on (Today’s date)
Instructions: This checklist is meant to serve as a general guideline for our client facilities as to the level of your skills within your nursing specialty. Please use the scale below to describe your experience/expertise in each area listed below.
Proficiency Scale:
1 = No Experience
2 = Need Training
3 = Able to perform with supervision
4 = Able to perform independently
Credentialing and re-credentialing application processing
Hospital credentialing experience (3+ years)
Appointment and reappointment processing
Medical staff privileging and re-privileging
Ongoing Professional Practice Evaluation (OPPE)
Focused Professional Practice Evaluation (FPPE)
Primary source verification (PSV)
Managing expirables (licenses, certifications, etc.)
Understanding of NCQA standards
Familiarity with TJC/Joint Commission standards
Working knowledge of CMS and state regulations
Healthline Echo software
Microsoft Outlook
Microsoft Excel (spreadsheets, data entry)
Microsoft Word (documents, forms)
Credentialing database maintenance
Scanning/uploading documents to systems
Email and electronic communication
Communicating with providers and office staff
Following up with departments on credentialing needs
Conducting correspondence for verifications
Providing updates to HR and leadership teams
Handling provider demographic changes
Processing provider terminations/status updates
Preparing agendas and taking meeting minutes
Organizing and maintaining provider files
Creating and updating medical staff rosters and schedules
Maintaining policy/procedure documentation
Knowledge of medical staff bylaws and rules
Committee meeting coordination and follow-up
HIPAA compliance and confidentiality practices
Auditing OIG/disciplinary reports
Assisting in NCQA and delegated audits
Handling credentialing documentation securely
Strong attention to detail
Ability to prioritize and multitask
Problem-solving and troubleshooting
Ability to work independently in a remote setting
Team collaboration and flexibility
Time management in a high-volume setting
Customer service mindset in provider support
I hereby certify that ALL information I have provided on this skills checklist and all other documentation is true and accurate. I understand and acknowledge that any misrepresentation or omission may result in disqualification from employment and/or immediate termination.
