Credentialing & Provider Enrollment Coordinator

About the Role

This role performs detailed and diversified administrative and clerical functions relating to maintenance of all documentation and credentialing. It requires driving administrative functions, provision of direct physician support, collaboration with stakeholders, and both efficient and effective management of documentation and credentialing efforts within the Department of Radiology—across the Enterprise and affiliate locations.

Responsibilities

• Maintain credentialing, licensure, or accreditation compliance
• Communicate with leadership regularly to review status and criteria to ensure compliance with CHOP and regulatory standards
• Advise leadership of anticipated problems involving credentialing, licensure, or accreditation
• Maintain and perform computerized and/or manual recordkeeping functions
• Monitor data collection to ensure licensure and credentials are current
• Coordinate periodic requests for information from stakeholder departments such as Public Relations, Development, and Marketing
• Ensure that primary source verifications are performed in a timely manner
• Provide administrative oversight for internal systems
• Develop and maintain automated response programs for accurate notification of time-sensitive documents pending expiration
• Continually review internal documents and updates as required for regulatory compliance
• Assure superior credentialing customer service
• Use independent judgment when problem-solving; seek assistance from manager, team lead, or team member when necessary
• Recognize customer concerns, prioritize them appropriately, and follow up within 24 hours on all queries
• Monitor compliance of assigned departments for all outstanding documents, files, and/or signatures required to complete appointments and/or reappointments
• Provide administrative support to leadership
• Provide support for periodic projects as required as part of ongoing effort to meet regulatory requirements
• Coordinate related annual activities including audit data submission, site visits, and surveys

Qualifications

• High School Diploma / GED - Required
• Bachelor's Degree - Preferred

Experience

• At least three (3) years of education, medical staff, or physician-related credentialing experience - Required
• At least five (5) years of education, medical staff, or physician-related credentialing experience - Preferred

Skills and Abilities

• Advanced proficiency with office software (Microsoft Office) including word processing and spreadsheet software (Word, Excel, Adobe)
• Intermediate proficiency with processing renewals, verifications, and data searches
• Intermediate knowledge of credentialing management database systems
• Excellent verbal and written communication skills
• Strong organizational skills
• Strong time management skills
• Strong conflict resolution skills
• Ability to maintain confidentiality and professionalism
• Ability to collaborate with stakeholders at all levels

Pay

Salary Range: $62,900.00 - $80,200.00 Annually. Salary ranges are shown for full-time jobs. If you're working part-time, your pay will be adjusted accordingly.