CREDENTIALS COORDINATOR

Job Summary

Provides support for all credentialing functions and meeting coordination within the Medical Staff Services Department. Processes and verifies new applications and reapplications for the Medical Staff. Maintains and updates credentialing software. Verifies proper training, credentials, insurance, certifications, licensure and any other credentialing documents as required by state, federal and accreditation requirements. Monitors license and credentials expiration dates and advises staff members of required “renew by” dates. Ensures that state, federal, and other regulations are met pertaining to credentialing requirements for all medical staff including Physicians, Podiatrists, Dentists, Telemedicine Providers and Advanced Practice Providers. Coordinates credentialing file review with department chairs & credentials committee members. Coordinates and supports the Credentials Committee including creating the agenda, taking meeting minutes and presenting agenda items in a complete and organized manner. Conducts research on updated state and federal regulations and policies. Releases information to requesting agencies and public inquiries when required by law. Helps develop internal credentialing processes. Ensures the facility and staff members are maintaining compliance with regulatory and accrediting institution.

Education

• High School Diploma required.
• Associates degree preferred.
• Certification preferred: CPMSM (Certified Professional in Medical Services Management), CPCS (Certified Provider Credentialing Specialist).

Experience

• Combination of 3 years of related experience.
• Credentialing experience working in a healthcare setting or payer enrollment setting is preferred.

Other Requirements

• Maintains unit-specific and hospital competencies, mandatory learning, and any clinical certifications required in accordance with the Staff Education and Training policy GA-057 and/or any other department requirements.
• Experience with database programs desired.
• Effective verbal and written communication skills.
• Ability to handle multiple tasks, work with interruptions and reprioritize often.
• Good interpersonal skills necessary due to diverse customer group.
• Attention to details.
• Knowledge of medical terminology is preferred.

Work Schedule

This is an in-person position that requires the candidate to be onsite per the required schedule. Telework is not accepted.

Federal Labor Standards Act (FLSA)

The position is Exempt.