Credentialing Coordinator, Remote

About the Role

Ensures the timely completion of applications for initial and/or recredentialing by assisting applicants in submitting all necessary documentation. Performs a variety of credentialing tasks to complete the credentialing process for Trinity Health RHMs, following policies and procedures while maintaining an accurate physician database.

Responsibilities

• Assists the Manager in identifying and scheduling reappointment candidates.
• Performs file audits and provides feedback on completed initial and reappointment credentialing files.
• Assists in training and orienting new team members.
• Conducts daily data entry to maintain an accurate physician database.
• Facilitates the integration of new RHMs into the CVO through data entry and/or conversion.
• Communicates regularly with applicants and RHMs to complete credentialing criteria within specified timeframes.
• Contacts primary sources to gather required verifications via telephone, fax, mail, and internet.
• Prepares documentation of all verifications, including summaries of verified references.
• Assists in the reappointment process by collecting and verifying information and completing follow-up.
• Meets processing time thresholds consistently with minimal error.
• Assists with drafting RHM privilege forms in the PCCB module of the credentialing database.
• Maintains confidentiality of sensitive information pertaining to patients, physicians, employees, and external entities.
• Tracks errors and complaints to support process improvement activities.
• Participates in professional development programs and organizations to stay updated on healthcare regulations and legislation.
• Performs other duties as assigned by the Director.
• Maintains knowledge of applicable federal, state, and local laws, as well as Trinity Health’s Integrity and Compliance Program and Code of Conduct.

Requirements

• Two years of post-high school education, training, or experience.
• Associate’s degree in health administration or a related field preferred.
• One year of work experience in a healthcare environment with general knowledge of hospital settings, physician practices, and managed care organizations.
• Knowledge of NCQA and TJC standards, NPDB guidelines, hospital policies, and licensing regulations.
• Experience with database organization, management, and report generation.
• Proficiency in Windows-based word processing software.
• Current CPCS and/or CPMSM eligibility by the National Association Medical Staff Services preferred but not required.
• Strong communication skills, both written and verbal.
• Strong statistical, analytical, and problem-solving skills.
• Ability to provide quality service and work autonomously or within a team.
• Strong organizational skills with attention to detail and thoroughness.
• Ability to work in a high-pressure environment with frequent changes in priorities.

Pay

Hourly pay range: $21.95 - $32.92

Benefits

Rooted in Trinity Health’s Mission and Core Values, the organization honors the dignity of every person and recognizes the unique perspectives, experiences, and talents each colleague brings. By embracing diversity, the team grows stronger together and delivers compassionate, person-centered care.