Credentialing and Medical Staff Coordinator

WHY UT SOUTHWESTERN?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career! 

JOB SUMMARY
The Credentialing Specialist for the Department of Surgery is responsible for the timely processing of initial credentialing and recredentialing for faculty, fellows, residents, and other healthcare practitioners. This role supports new providers by coordinating licensing requirements and providing guidance throughout the credentialing process. The specialist collaborates with hospitals and managed care organizations to ensure accurate and timely provider enrollment, credential verification, and updates to practitioner information. Additionally, the position maintains and tracks credentialing, licensing, provider enrollment, and managed care records to ensure compliance and continuous provider participation.

The role of the professional Credentialing and Medical Staff Coordinator is to utilize both critical thinking skills and involves the exercise of discretion and independent judgment with the performance of his/her work in the servicing of the Hospitals' and Campus' credentialing and privileges processes. 
 

BENEFITS
UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:

• PPO medical plan, available day one at no cost for full-time employee-only coverage
• 100% coverage for preventive healthcare-no copay
• Paid Time Off, available day one
• Retirement Programs through the Teacher Retirement System of Texas (TRS)
• Paid Parental Leave Benefit
• Wellness programs
• Tuition Reimbursement
• Public Service Loan Forgiveness (PSLF) Qualified Employer
• Learn more about these and other UTSW employee benefits!

EXPERIENCE AND EDUCATION

Required

• Education
  High School Diploma or equivalent, and knowledge of anatomy, physiology, medical terminology and The Joint Commission (TJC) standards or 
  Associate's Degree Completion of a specialized training program in the field of medical staff credentialing (i.e. Associate Degree in Credentialing) 
   

• Experience
  2 years Experience in the field of medical staff credentialing, or Completion of a specialized training program in the field of medical staff credentialing (i.e. Associate Degree in Credentialing) 
   

Preferred

• Licenses and Certifications
  (CPCS) CRT PROVIDER CREDENT SPEC Certification by the National Association of Medical Staff Services at time of employment Upon Hire or
  (CPMSM) Cert Prof Medical Staff Mgmt Certification by the National Association of Medical Staff Services at time of employment Upon Hire 
   

JOB DUTIES

• Manages the distribution and receipt of credentialing and privileging applications, peer review forms and continuous updating of Departments' privilege form to reflect current privileges and corresponding privileging criteria.
• Serves as a professional resource for Departments' Credentialing Contacts, Physicians/Practitioners, Credentials and Medical Executive Committees and the Health System Board regarding the credentialing and privileging process including new applications, any privilege form or criteria changes, and reporting status with the processing of all files.
• Solely responsible for reviewing the content of the completed evaluation forms which includes verification of applicants' education, training, board certification, licensure, other certifications and past work history.
• Identifies any discrepancy, erroneous information and/or issues of impairment (health, drug, alcohol, etc.) from the application based on the results of the primary source verification. After seeking clarification, responsible for reporting findings to Credentials Committee.
• Reports to the Department Chair/Designee any instances where the privileging criteria are not met. Verifies status with Federal and State sanctions. Reports any sanctions found to manager, director and Chief Medical Officer.
• Issues all letters associated with the appointment and any necessary requests for computer access, FNEA numbers for the physician, upon notification of approval by the Health System Board.
• Responsible for meeting required performance metric relating to the timely processing of applications and managing individual workload to prevent late reappointments, or delayed initial appointments.
• Maintains and validates the accuracy of the physician profiles in the hospitals' and Managed Care Organizations credentialing database system to accurately reflect status, findings of credentialing process, and hospitals' financial and coding systems.
• Generates varies reports and completes special projects as assigned and in a timely manner.
• Performs other duties as assigned.

SECURITY AND EEO STATEMENT

Security
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.

EEO
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.