Credentialing Coordinator

Position Summary

Provides general administrative and clerical tasks within the department and provides backup administrative support, if needed; maintains critical and confidential credentialing, privileging, provider enrollment and peer review information; executive correspondence; ongoing- professional, performance evaluations (OPPE); and focused professional performance evaluations (FPPE). Recognize and maturely handle a variety of situations, often of a confidential or urgent nature.

Primary Position Responsibilities

• Administrative Support - Dictate and transcribe Committee meetings, e.g. Credentialiing Committee, Medical Executive Committee, General Medical Staff and other committees assigned by the Manager. Assistance with events, e.g., Doctors Day delivery of appreciation gifts. 2. Application Processing - Follow application processes, e.g. primary source verification, audit application for completeness, notify practitioner of any incomplete or oustanding documents, self file audits when applicaiton is completed. 3. Provider Enrollment - Follow processes for PECOS, CAQH, Medicaid, and NPPES processes. 4. Customer Service 5. Data Entry - Uploading documents, linking documents, etc 7. Unassigned Call Schedule -Update the unassigned On-Call Schedule as needed. This includes auditing the on-call schedule on a weekly basis.

Work Contact Group (Internal / External)

Medical Staff, Advanced Practice Professionals, staff at all levels of the organization, external organizations and their representatives, and the general public.

Reporting Relationships

Reports to (position) :

Manager, Medical Staff Services

Supervises (position(s) :

None

Qualifications

Minimum Education : Required :

High School Graduate or Equivalent

Preferred :

Certificate and / or Advanced Specialized or Technical Training in Medical Staff Services or Associate Degree

Minimum Years of Experience (Amount, Type and Variation) :

Required :

One (1) year of credentialing or provider enrollment experience

Preferred :

Two (2) years of credentialing or provider enrollment experience.

License, Registry or Certification :

Required :

None

Preferred :

Certification by NAMSS as a Certified Provider Credentials Specialist (CPCS) or the ability to become certified within the time periods established by NAMSS from date of hire.

Knowledge, Skills and / or Abilities :

Required :

Ability to prioritize, work in a fast-paced environment; meet ongoing schedules and deadlines, detailed oriented, organized, good judment, self motivated, ability to multi task and work independently. Proficient in the use of multiple computer software programs

Preferred :