Here's what you'd do:
- Under minimal supervision, the Credentialing Coordinator is responsible for timely facilitating the management and coordination of the complex credentialing and privileging process of physicians, mid-level providers, research associates, professionals, and paraprofessional individuals across multiple facilities.
- The Credentialing Coordinator will also assist in initiating and facilitating the Provider Enrollment process for billing.
- The Credentialing Coordinator initiates access for providers Epic and other software and ensures information is accurate and updated.
- The Credentialing Coordinator will maintain and ensure compliance for all licensures and appointments with state and governmental agencies and certifications, as well as Professional Liability coverage for each Provider.
- The Credentialing Coordinator also tracks and ensures the completion of needed continuing medical education courses/workshops.
- Due to the complexity, the Credentialing Coordinator must be a self-starter who can adapt, multi-task, and understand the intricate credentialing and enrollment needs depending on the provider's specialty.
- Mentors and guides lower-level team members.
- Guide Provider through credentialing and re-credentialing process and ensure the completion of needed documentation for client and all facilities where the Provider delivers services.
- Works with Providers to prepare and submit Medicare & Medicaid applications to the enrollment office.
- Prepare all credentialing applications, develop, and provide documentation that is not supplied by the Provider, and address any additional information or corrections requested.
- Verify and track the proper credentialing and re-credentialing of physicians, professionals, and paraprofessional individuals within a client and all facilities where the Provider has privileges.
- Receive credentialing application and enter data into the credentialing system.
- Work with Provider to maintain and ensure compliance for all licensures and appointments with state and governmental agencies and certifications for each Provider, generate a monthly report of expiring credentials.
- Ensure ongoing monitoring of performance between credentialing cycles, generate performance review documentation, share with the department for completion, and notify external entities when a Provider has been suspended, if necessary.
- Work with Departments to obtain proof of Professional Liability coverage.
- Provide support and information needed for monthly credentialing committee meetings, and provide reports to the committee of initial and reappointments.
- Notify Providers and departments of credentialing status and final result, email notice to the department and provider, and ensure the credentialing system (currently MD Staff) is updated with the final credentialing result.
- Ensure the client website accurately reflects the Provider's credentials once cleared.
- Track and ensure the completion of needed continuing medical education courses/workshops and provide documentation to outside entities according to requirements.
- Conduct customer service tasks such as responding to Providers, applicants, administrators, and hospital inquiries, and provide documents to physicians/office staff seeking copies.
- Perform all other duties as assigned.
Required Skills / Qualifications:
- High School Diploma or GED
- Minimum 3 years of administrative experience in hospital or clinical field.
Preferred Skills / Qualifications:
Job Types: Full-time, Contract
Pay: From $30.81 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
Work Location: In person