CREDENTIALING COORD

Job Summary:

The Credentialing Coordinator manages the day to day operations of the credentialing staff. Develops and implements departmental policies and procedures for credentialing activities that meet accreditation, state and federal credentialing standards and regulations. Monitors and maintains timeliness of all credentialing activity and reporting consistent with regulatory and policy requirements. Maintains systems to identify and disseminate to others medical staff members and their clinical privileges. Responsible for coordinating, monitoring and maintaining the credentialing and recredentialing process. Works with the medical staff leadership for the approval and ongoing review of credentialed providers. Monitors and revises credentialing and privileging forms as needed. Ensures maintenance of medical staff and allied health staff files. Schedules and supports (prepares agenda, attends and prepares minutes) the Credentials Committee in the absence of Credentialing Specialist. Provides support to the Credentials Committee Chair as needed and assumes other related responsibilities as assigned, under the supervision of the Vice President of Marketing and Medical Staff Services. In addition, the Credentialing Services Coordinator will assist healthcare providers with research article requests through DOCLINE Delivery Service and ensure prompt delivery.

Performance Expectations:

• Demonstrates excellent communication skills in writing as well as verbally.
• Demonstrates the ability to process providers accurately, timely, and appropriately.
• Demonstrates the skills necessary to request and deliver article requests for providers.
• Demonstrates proficiency in utilizing and navigating hospital credentialing software.
• Demonstrates proficiency with MS based computer equipment and various software programs including, outlook, excel, word, and access.
• Demonstrates competence/proficiency in utilizing Lawson.
• Demonstrates competence/proficiency in utilizing Kronos.
• Demonstrates ability and competence to multitask and manage multiple projects.
• Demonstrates skills and knowledge required to ensure provider files meet all regulations and standards.

Qualifications:

Education/Skills:

Bachelor degree preferred. Three to five years’ experience working in provider credentialing or working in related hospital department required. Typing and computer skills required.

Work Experience:

Three to five years’ experience working in provider credentialing or working in related hospital department required. Familiarity with Medical Staff Support and Credentialing required.

Mental Demands:

Must possess the ability to organize and professionally manage demanding workload; possess professional sophistication, presence, and comfort level to facilitate working with healthcare professionals; assertiveness/political intuitiveness; effective professional business written and verbal communication skills; technical knowledge of automate support system and maintenance of same. Must demonstrate leadership and self-motivation.