What are the responsibilities and job description for the Credentialing Coordinator Full Time 8 Hour Day Shift position at East Los Angeles Doctors Hospital?
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 :
Communication / Knowledge :
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