Credentialing Coordinator

Job Summary

The Credentialing Coordinator II verifies the professional licensing, training, and certifications of professional medical staff at Baylor Scott & White Medical Center at Trophy Club. The primary goal is to ensure healthcare professionals and services meet all established federal and state standards, as well as The Joint Commission standards. This position establishes effective working relationships with all constituencies including physicians, employees, volunteers and vendors. The Credentialing Coordinator II works with Senior Management in meeting Facility goals according to the bylaws and The Joint Commission and CMS requirements. All functions related to the credentialing, privileging, and processes to accommodate practitioners applying for or maintaining privileges at Baylor Scott & White Medical Center at Trophy Club.

Qualifications

• Ability to maintain confidentiality • Ability to read and comprehend complex instructions, business correspondence and memos. • Ability to write complex correspondence. • Ability to effectively present information in group situations to patients, physicians and other employees of the organization. • Ability to apply common sense understanding to carry out detailed written or oral instructions. • Ability to deal with problems involving a few concrete variables in standardized situations. • Strong computer knowledge and technical skills; specifically, with Excel • Knowledge of Credentialing software is critical • Ability to prioritize and handle multiple projects. • Independent decision-making skills • Demonstrate a thorough knowledge and understanding of the policies and guidelines, facility credentialing plan and Bylaws and the accreditation/credentialing standards established by JCAHO, AAAHC, NCQA, and HCFA

Responsibilities

- Verifies the professional licensing, training, and certifications of professional medical staff. - Ensures healthcare professionals and services meet all established federal and state standards, as well as The Joint Commission standards. - Establishes effective working relationships with all constituencies including physicians, employees, volunteers and vendors. - Works with Senior Management in meeting Facility goals according to the bylaws and The Joint Commission and CMS requirements. - Manages credentialing, privileging, and processes to accommodate practitioners applying for or maintaining privileges at Baylor Scott & White Medical Center at Trophy Club.

Requirements

- Ability to maintain confidentiality - Ability to read and comprehend complex instructions, business correspondence and memos. - Ability to write complex correspondence. - Ability to effectively present information in group situations to patients, physicians and other employees of the organization. - Ability to apply common sense understanding to carry out detailed written or oral instructions. - Ability to deal with problems involving a few concrete variables in standardized situations. - Strong computer knowledge and technical skills; specifically, with Excel - Knowledge of Credentialing software is critical - Ability to prioritize and handle multiple projects. - Independent decision-making skills - Demonstrate a thorough knowledge and understanding of the policies and guidelines, facility credentialing plan and Bylaws and the accreditation/credentialing standards established by JCAHO, AAAHC, NCQA, and HCFA