What are the responsibilities and job description for the Credentialing Coordinator position at Midas Consulting?
Role : Credentialing Coordinator with Privileging experience
Location : San Antonio, TX
Duration : Contract
Job Duties/Responsibilities/Functions (including but not limited to):
1. Guide Provider through credentialing and re-credentialing process and ensure the completion of required documentation and all facilities where the Provider delivers services. Works with Provider to prepare and submit Medicare & Medicaid applications to enrollment office.
2. Prepare all credentialing applications, develop, and provide documentation that are not supplied by the Provider, address any additional information or corrections requested.
3. Verify and track the proper credentialing and re-credentialing of physicians, professionals, and paraprofessional individuals and all facilities where the Provider has privileges.
4. Receive credentialing application and enter data into credentialing system.
5. Work with Provider to maintain and ensure compliance for all licensures and appointments with state and governmental agencies and certifications for each Provider, generate monthly report of expiring credentials.
6. Ensure ongoing monitoring of performance between credentialing cycles, generate performance review documentation, share with department for completion, and notify external entities when a Provider has been suspended, if necessary.
7. Work with Departments to obtain proof of Professional Liability coverage.
8. May provide support and information needed for monthly credentialing committee meetings, provide report to the committee of initial and reappointments.
9. Notify Providers and departments of credentialing status and final result, email notice to department and provider, ensure credentialing system (currently MD Staff) is updated with final credentialing result.
MINIMUM Education:
Associate's degree is required. Will accept experience in lieu of education.
MINIMUM EXPERIENCE:
Three (3) years administrative experience, preferably in the hospital or clinical field, is required.
Working Environment:
Office Environment
