Coordinator, Credentialing

Responsibilities

• Coordinating, monitoring and maintaining the credentialing and re-credentialing process.
• Facilitating all aspects of credentialing, including appointment, reappointment, monitoring and privileging for medical staff and allied health practitioners.
• Ensuring compliance with accrediting and regulatory agencies (Joint Commission and NCQA) in regards to credentialing while developing and maintaining a working knowledge of the statutes and laws.
• Works under the supervision of the Medical Staff Services Director.
• Duties include the gathering, verification and evaluation of confidential healthcare provider credentials, as well as contacting and following up with contracted network facilities to obtain documentation relevant to the credentialing process and data entry of all credentialing information provided by contracted facilities.

Qualifications

• Education: College degree preferred or an equivalent of education plus relevant experience in a healthcare environment.
• Experience: Minimum three (3) years of related experience in a healthcare setting, required.
• Cactus Credentialing System.
• Knowledge and Skills: Excellent interpersonal and communication skills required. Ability to prioritize work in an environment with multiple interests. Ability to work independently with minimal supervision. Ability to handle complex and confidential information with discretion. Competency using a variety of computer software. Ability to fully utilize BHMC's electronic record systems, equipment and healthcare and billing systems relevant to this position.
• Licenses, Certifications: Certified Provider Credentialing Specialist - CPCS preferred.