Credentialing Coordinator Full Time 8 Hour Day Shift

Job Summary:

Under the direction of the Senior Medical Staff Services Director, the Credentials Coordinator is responsible for supporting the administrative tasks and verifying the credentials of healthcare practitioners in a healthcare facility, which includes implementing credentialing activities according to expectations defined by the Medical Staff Bylaws, Rules and Regulations, Accreditation Standards, Title 22 and regulatory agencies. Responsible for managing, gathering researching, screening and updating physician credentials for appointment and reappointment. Prepares summary evaluations of practitioner credentials for Committee review, including proctoring.

Essential Functions:

• Serve as the primary point of contact for providers, the credentialing committee, administration ensuring up-to-date credentialing files for physicians, and mid-level providers.
• Coordinate the provider appointment/reappointment processes across all health centers, which includes collecting, verifying, and presenting provider references and credentials for review and approval.
• Process certification and examination applications respond to inquiries from applicants, schools, and employers, and handle phone inquiries related to certification and exams.
• Maintain a computerized database of records and timely and efficiently verifies information through the required and/or established verification entities. related to membership, certification, and disciplinary actions,
• Attend committee meetings, take detailed minutes, and manage records of those meetings.
• Verify certification information for other state agencies as needed.
• Assist with the onboarding of Medical Staff/AHP Staff.
• Provide verbal and written support for supervisors as needed.
• Uses clear, concise, professional communication with coworkers, patients, all customers internal and external.
• Uses AIDET in interactions with patients and family members.
• Acts with a sense of urgency when performing tasks.
• Reports on any equipment and or environmental issues for repair.
• Abides by HIPAA (Health Insurance Portability and Accountability Act) regulations.
• Speaks up to stop the line and escalates potential safety events if necessary.
• Completes and attends monthly training assigned.
• Other tasks as assigned.

Behavioral Standards:

• Treats everyone as their customer; utilizes scripting and other tools to ensure consistency in customer service; Expresses recognition and shows appreciation to others; fully utilizes AIDET principles; responds quickly to handle requests, complaints and questions; displays a positive attitude.
• Demonstrates the highest level of professionalism, passion and care when interacting with patients, families, physicians, and hospital staff members.
• Using a lens of equity in all aspects of patient care delivery, education, and research to promote policies and practices to allow opportunities for all to thrive and reach their potential, embracing ingenuity to service our customers.

Communication/Knowledge:

• Wears nametag properly; follows dress code policy; answers phone correctly and promptly; is prepared for meetings; meets deadlines; does not participate in gossip; acts ethically and treats others with respect; respects customer’s and co-worker’s time; establishes and maintains effective relationships with customers and co-workers.

Collarboration/Teamwork:

• Attends staff meetings; follows HIPAA guidelines; follows patient rights policy; complies with the compliance program; demonstrates knowledge of role in a disaster; demonstrates knowledge of fire and fire drill procedures; working knowledge of hospital emergency codes; always utilizes standard precautions in the clinical setting; safely manages the environment of care by demonstrating a working knowledge of the requirements of the: Life Safety program, Utilities Management program, Hazardous Materials program, Emergency Preparedness program, Safety Management program, Medical Equipment Management program, Security Management program.

Qualifications/Experience:

• Minimum of three (3) years of experience in a credentialing, within an acute care setting.
• Familiar with healthcare provider credentialing, privileging, and certification standards.
• Critical thinking, service excellence and good interpersonal communication skills, ability to read/comprehend written instructions, strong organizational skills, ability to follow verbal instructions, and PC (computer) skills.
• A capacity to learn, synthesize, make critical judgments, work independently, place patients and families first, and collaborate with the team members who are recognized leaders within health care.

Education

• Associates or better in Health Administration
• Associates or better in Business Administration
• Bachelors or better in Health Administration
• Bachelors or better in Business Administration

Licenses & Certifications

• CPMSM Medical Staff Mgt
• CPCS Crt Prov Creden Spec
• MAB AB508 Mgt Assaul Behv

Equal Opportunity Employer
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