What are the responsibilities and job description for the CREDENTIALS COORDINATOR position at CalvertHealth?
JOB DESCRIPTION DETAILS
Job Summary:
Provides support for all credentialing functions and meeting coordination within the Medical Staff Services Department. Processes new applications and reapplications for the Medical Staff. Responsible for verifying proper training, credentials, insurance, certifications, licensure and keeps accurate database records. Monitors license and credentials expiration dates and advise staff members of required “renew by” dates. Performs background checks and verifies eligibility through competency documentation, before assigning privileges. Gathers quality & volume data for the reappointment cycle through database abstraction and reaching out to other entities. Ensures that state, federal, and other regulations are met pertaining to credentialing requirements for Physicians, Podiatrists, Dentists, Telemedicine Providers and Advanced Practice Providers. Coordinates credentials file review with department chairs & credentials committee members. Creates the agenda and assembles the credentials committee meeting packets. Provides meeting support and takes minutes. Conducts research on updated state and federal regulations and policies. Releases information to requesting agencies and public inquiries when required by law. Help develop internal credentialing processes. Ensure the facility and staff members are maintaining compliance with regulatory and accrediting institution.
Education:
Position requires a High School Diploma. Associates degree preferred.
Registration/Certification/Licensure:
Certification required: CPMSM (Certified Professional in Medical Services Management), CPCS (Certified Provider Credentialing Specialist), or CPHQ (Certified Professional in Healthcare Quality). If not currently certified, will consider 3 years of credentials experience and must agree to complete certification within 1 year of eligibility to take exam.
Experience:
Position requires a combination of 3 years of related experience. Credentialing experience working in a healthcare setting or payor 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. Ability to communicate effectively verbally and in writing. Ability to handle multiple tasks, work with interruptions and reprioritize often. Good interpersonal skills are necessary due to diverse customer group. Must be attentive to details. Knowledge of medical terminology is required.
Salary.com Estimation for CREDENTIALS COORDINATOR in Prince Frederick, MD
$49,949 to $61,828
If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution.
Compensation Planning
Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right.
Surveys & Data Sets
What is the career path for a CREDENTIALS COORDINATOR?
Sign up to receive alerts about other jobs on the CREDENTIALS COORDINATOR career path by checking the boxes next to the positions that interest you.
JOB DESCRIPTION DETAILS Job Summary: Produce accurate results in hematology, serology, chemistry, blood bank, coagulation, urinalysis, microbiology and oth...more
JOB DESCRIPTION DETAILS Job Summary: To produce high-quality diagnostic radiographs while performing in a service-oriented, radiation-safe manner. Educatio...more
Must demonstrate competence to provide occupational rehabilitation services by reason of education, training, and experience. New graduates with clinical r...more
JOB DESCRIPTION DETAILS Job Summary: Uses current evidence-based knowledge and skills to conduct physical assessments/examinations and to develop and imple...more
JOB DESCRIPTION DETAILS Job Summary : Provides support for all credentialing functions and meeting coordination within the Medical Staff Services Departmen...more
At 2U, we are all in on purpose. We are motivated by our mission – to make learning limitless– and connected by our shared passion to deliver world-class h...more
