Credentialing Coordinator

Credentialing Coordinator

Treating patients like family
Nashville, Tennessee
Consolidated Pathology - Nashville (15088)
Consolidated Pathology Nashville is Hiring a Credentialing Coordinator
No Weekends, no call, no Holiday!

About the role

Working as a Credentialing Specialist, you'll work closely with our laboratory teams to ensure the credentials of medical professionals are exemplary. Credentials may include but are not limited to: educational background, licenses, fellowships, certifications and work experience.

Responsibilities

• Manage the credentialing process for pathologists.
• Verify the accuracy and completeness of provider applications, ensuring that all required documents are submitted.
• Conduct thorough background checks, license verifications, and references to ensure compliance with regulatory standards for each state that our client ASCs are located in.
• Cook up coordination with Laboratory Director and external agencies to obtain and update relevant provider information.
• Maintain accurate and up-to-date electronic and hard copy files of all credentialing documentation and make it available as needed.
• Communicate with providers to address any discrepancies or missing information.
• Monitor expiring licenses and credentials, proactively initiating the renewal process to avoid any disruption in services.
• Stay up-to-date with industry regulations and requirements, ensuring compliance at all times.
• Aid in preparing for and participating in audits and regulatory reviews.
• Provide support and guidance to internal staff regarding credentialing and privileging processes.

Qualifications & Skills

• Bachelor's degree in healthcare administration, business, or related field
• Certified Provider Credentialing Specialist (CPCS) designation
• Experience with credentialing in a medical or healthcare setting
• Knowledge of relevant federal and state regulations
• Strong communication and interpersonal skills

What We Offer

• Medical, dental, vision, and prescription coverage
• Life and AD&D coverage
• Availability of short- and long-term disability
• Paid holidays and vacation

Who We Are

At USPI, we create relationships that create better care. We partner with physicians and healthcare systems to provide first-class ambulatory solutions throughout the United States. We are committed to providing surgical services in the most efficient and clinically excellent manner.

USPI is committed to, and proud of our inclusive culture. An inclusive culture, in our view, is respectful of differences and nurtures and supports the contributions of each individual, while also embracing and leveraging diversity. A diverse workforce, combined with an inclusive culture, makes USPI stronger and better able to meet the needs of our diverse patient and physician population.