Credentialing Coordinator

Position Summary / Career Interest

Credentials the hiring of physicians and allied health providers for professional staff membership and health system privileges. Provides administrative support for medical staff functions including credentialing applications and files, bylaws policies and committee support. Serves as a resource for regulatory requirements for CMS, The Joint Commission and NCQA for delegated credentialing standards.

Responsibilities And Essential Job Functions

• Coordinates gathering and verification of primary source documentation for new applicants and reappointments.
• Works collaboratively with other credentialing staff to respond to database report requests.
• Works within crucial deadlines and with time sensitive information.
• Performs monthly monitoring activities in accordance with regulatory guidelines.
• Aids Director and Manager in implementing processes to adhere to regulatory requirements relating to credentialing and privileging.
• Collaborates with provider enrollment and the Medical Staff Office to ensure receipt and confirmation of required documentation.
• Aids with various organizational activities, including preparation of audits and reports as directed.
• Attends meetings and takes minutes as assigned.
• Maintains credentials files, filing information as received.
• Supports office mission for service by receiving and screening calls for colleagues in their absence.
• Facilitates and sustains mutually beneficial partnerships with people at all levels both internally and externally.
• Values and models integrity by acting in a just, fair, and ethical manner.
• Engages in continuing education.

Skills And Duties

• Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.

Required Education And Experience

• High School Graduate

Preferred Education And Experience

• Associates Degree in Business Administration/Management

Licenses And Certifications

• Certified Provider Credentialing Specialist (CPCS) - National Association of Medical Staff Services (NAMSS)
• Certified Professional Medical Services Management (CPMSM) - National Association of Medical Staff Services (NAMSS)

Time Type

Full time

Job Requisition ID

R-55544

Important Information For You To Know

• The health system is an equal employment opportunity employer.
• Qualified applicants are considered for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, ancestry, age, disability, veteran status, genetic information, or any other legally-protected status.
• The health system provides reasonable accommodations to qualified individuals with disabilities.
• Employment with the health system is contingent upon, among other things, agreeing to the health-system-dispute-resolution-program.pdf and signing the agreement to the DRP.

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