Credentialing Coordinator Hybrid/Remote

Verify and maintain credentials for professional staff to ensure licensing and
certification requirements are in compliance with state and federal guidelines.

Essential Functions:
? Prepare and maintain reports and/or database to ensure the facility and its providers are in
compliance with all regulatory standards
? Evaluate credentials of providers such as accreditation, membership or facility privileges
? Cooperate with subscribers, patients, and management for verification of provider credentials
? Manage applications and process requests for credentialing
? Fax, file, prepare statements and/or letters related to credentialing documentation
? Cooperate with auditors and regulatory agencies
? Maintain a professional appearance
? Maintain a courteous, considerate and respectful demeanor with patients, visitors, co-workers
and management
? Resolve interpersonal conflicts that arise in a professional manner
? Maintain consistent attendance, reliability and punctuality
? Accept constructive criticism and attempt to use it to improve personal practice
? Make appropriate arrangements for absences
? Maintain compliance with regulatory standards (e.g., TJC, NCQA, CMS), internal policies
and D-H Professional staff, by-laws, rules and regulations.

Education: Associate's degree in business or healthcare-related field preferred. (CPS), (CPMSM) certifications preferred but not required.

Experience: Minimum of 3 years’ experience in healthcare

Knowledge/Skills/Abilities:

Customer service, phone skills, familiarity with Windows and DOS
based programs, typing skills, familiarity with office equipment, time management skills, multitasking skills, effective communication, ability to handle difficult situations and work under pressure, verbal and written communication skills, ability to collaborate and communicate with management and co-workers.

Benefits Include:

PTO

Health Insurance

Dental

Vision

STD/LTD

Life

401(K)

FSA/HSA