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Responsibilities
Medical Staff Credentialing Coordinator Opportunity
Emerald Coast Behavioral Hospital provides inpatient treatment services to children, adolescents and adults at our 86-bed facility in Panama City, FL and outpatient services to adolescents and adults at our three outpatient centers located throughout the Florida Panhandle.
Additionally, we offer specialized treatment for active duty military members through our Military Resiliency Program, specialized chemical dependency treatment and TMS therapy for chronic depression.
Visit us online at :
The Medical Staff Credentialing Coordinator serves as an essential link and resource between management and Medical Staff to coordinate the operational processes and ongoing credentialing, privileging, and Medical Staff governance functions.
Responsible for review, analysis and follow up of credentialing and privileging applications, maintaining strict confidentially and ensuring compliance with Medical Staff and Hospital policies and accrediting and regulatory agencies.
Job Duties / Responsibilities :
Departmental Operations
Credentialing and Privileging
Screens application and supporting documents for completeness. Identifies discrepancies and conducts follow-ups.
Primary Source Verification
Conducts, participates in, and maintains primary source verifications such as : Competence, medical / professional education, relevant training (internships, residency, fellowship, additional formal training), relevant board certifications, hospital affiliations / work history / military experiences, peer references, professional licensure, DEA, malpractice (history), privileges, querying National Practitioner Data Bank (NPDB) as appropriate, querying American Medical Association (AMA), OIG, etc.
OPPE / FPPE
Organize information and data to identify / explain trends, problems and their causes. Analyzes and prepares presentations and reports regarding provider performance improvement and ensures quality / competence data is clear, concise and structured.
Communicates concerns and findings to Medical Staff Services Director and Medical Director.
Participates in OPPE / FPPE Review process.
Accreditation and Regulatory Standards
Medical Staff Functions
Benefit Highlights :
One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc.
UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune;
and listed in Forbes ranking of America’s Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.
S. states, Washington, D.C., Puerto Rico and the United Kingdom.
Qualifications
Requirements :
Must be detail oriented and able to multi-task and change direction quickly. Presents oneself in a positive and professional manner through appearance and conduct.
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates.
UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
We believe that diversity and inclusion among our teammates is critical to our success.
Avoid and Report Recruitment Scams
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries.
from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement.
We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.
Last updated : 2024-04-27
Full Time
$37k-47k (estimate)
04/28/2024
05/03/2024
foundationsforliving.net
Mansfield, OH
<25
The job skills required for Credentialing coordinator include Billing, Microsoft Office, Healthcare Services, Diversity and Inclusion, Decision Making, etc. Having related job skills and expertise will give you an advantage when applying to be a Credentialing coordinator. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Credentialing coordinator. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Credentialing coordinator positions, which can be used as a reference in future career path planning. As a Credentialing coordinator, it can be promoted into senior positions as a Compliance Manager - Healthcare that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Credentialing coordinator. You can explore the career advancement for a Credentialing coordinator below and select your interested title to get hiring information.
If you are interested in becoming a Credentialing Coordinator, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Credentialing Coordinator for your reference.
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Quotes from people on Credentialing Coordinator job description and responsibilities
A credential coordinator performs a variety of administrative tasks. This includes processing initial credentialing and re-credentialing applications.
01/22/2022: Baltimore, MD
Credential coordinator's common duties may also include screening practitioners' applications and supporting documentation to ascertain their eligibility.
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The credentialing coordinator will organize, maintain, and verify all aspects of the process, and maintain current files on practitioners.
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Educate the healthcare facility and division regarding the credentialing policies and procedures.
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Create educational material regarding the department's credentialing effort.
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Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Credentialing Coordinator jobs
Credentialing specialists can often find work with a high school diploma or the equivalent.
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A credentialing specialist can have certificates that will prove useful to their field.
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Must be proficient with Microsoft Office Word and Excel.
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Respond to health plan provider inquiries with utmost respect.
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Ensuring data is backed up.
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Step 3: View the best colleges and universities for Credentialing Coordinator.