Credentialing Coordinator

Job Description

Job Description

Dean's Professional Services is now hiring a qualified Credentialing Coordinator to work in a Hospital Facility in San Antonio, TX. Must have Credentialing and Hospital experience.

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 in and outside San Antonio, Texas. 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 required 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.

Job Duties :

• Guide Provider through credentialing and re-credentialing process and ensure the completion of required documentation for 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 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.
• May 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 result, email notice to department and provider, and ensure the credentialing system (currently Staff) is updated with the final credentialing result.
• Ensure the website accurately reflects the Provider's credentials once cleared.
• Track and ensure the completion of required continuing medical education courses / workshops; 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.

Job Requirements :

Job Details :

Dean's Professional Service's is a national, award-winning staffing solutions firm. Since 1993, DPS has placed over 45,000 professionals across the nation. We work with our clients to provide placement opportunities that match your skill, experience, and personality. For more information please visit.

Salary : $25