Hospital Credentialing Coordinator- Medical Administration- Remote

VCU Health; Richmond; Remote; USD 50,000 - 70,000; Full time

Job summary

A prominent health system is seeking a Credentialing Coordinator to manage the credentialing process for clinicians. Candidates should have at least 3 years of experience in hospital credentialing and must be adept at managing numerous regulatory standards. This position promotes independent work with a focus on compliance and organizational efficiency. The role can be remote but candidates from specific states are preferred.

Qualifications

• Minimum of 3 years of hospital credentialing experience.
• Knowledge of medical terminology required.
• Strong ability to manage multiple priorities.

Responsibilities

• Responsible for initial credentialing and re-credentialing.
• Interact with clinicians to gather applications and documents.
• Ensure compliance with hospital bylaws and regulations.

Skills

Credentialing expertise

Organizational skills

Detail-oriented

Education

Associates or Bachelor's degree

Tools

Microsoft Office Access

Microsoft Word

Microsoft Excel

Job description

VCU Health System is permitted to hire remote workers in the following states : VA, MD, TN, NC, FL, SC, TX, WV, GA, AR, KY, AL, KS, MI, MO, OH

We are seeking an experience professional in credentialing who specifically has at least 3 years of experience in hospital credentialing.

This experience should include processing initial and reappointment applications with a focus in assessing privileges.

The Credentialing Coordinator is responsible for all aspects of the initial credentialing, re-credentialing and privileging functions for all clinicians on medical and allied health staff at the VCU Health System Hospitals.

The Coordinator includes interacting with clinicians to obtain applications and pertinent documents evaluating data for accuracy and completeness, monitoring receipt and follow up responses ensuring timely and efficient processing.

This position notifies supervisor Director of any adverse, incomplete or questionable data.

This job works independently and is able to assess a situation, consider alternatives and choose the appropriate course of action.

This job demonstrates sound organizational ability and effectively sets priorities. This job must be able to maintain strict confidentiality and professional discretion. This job ensures compliance with hospital bylaws, and with local, state and federal requirements.

This job provides assistance to the Director in development, plans, organization and control of the operation of the Medical Staff Office in order to meet the mission and goals of the hospital and the requirements of the Medical Staff Bylaws, JCAHO, NCQA Standards and other applicable federal, state and local regulatory and/or accrediting agencies.

This job attends medical staff committee meetings as directed. Interacts and provides support services to medical staff officers, departments and chairs as assigned.

Licensure, Certification, or Registration Requirements for Hire:
Certified Provider Credentialing Specialist (CPCS) preferred

Licensure, Certification, or Registration Requirements for continued employment:
Certified Provider Credentialing Specialist (CPCS) preferred


Experience REQUIRED:
Minimum of three (3) years previous credentialing and medical terminology experience in a hospital or managed care credentialing setting
Previous experience using a personal computer and various applications, including Microsoft Office Access, Word, and Excel and credentialing software

Experience


PREFERRED:
Five (5) years of previous experience in credentialing in a health care environment
Previous experience with the application of JCAHO, URAC and NCQA guidelines
Certified Professional in Medical Services Management (CPMSM)


Education/training REQUIRED:
Associates or Bachelors degree or experience in lieu.

Education/training


PREFERRED:
Associates or Bachelors Degree in Business, Healthcare or closely related field


Independent action(s) required:
Expresses ideas and exchanges information clearly and concisely.
Demonstrates the ability to prioritize work assignments effectively and efficiently within the scope of the employee's responsibility.
Effective development of relationships with other members of the team (i.e. non-clinical personnel, etc.)
Highly motivated individual with independent work habits.

Organizational skills, proficiency in MS Office Access, Word, and Excel and credentialing software, and numerous hospital databases with extreme attention to detail are critical indicators for success in this role.

Ability to multi-task in stressful and limited time constrained environment.

Must possess knowledge of local, federal and state laws and regulations and JCAHO standards related to position's chief objective and demonstrate aptitude for compliance with VCUHS policies, procedures, and customer service philosophy.

Supervisory responsibilities (if applicable): N/A


Additional position requirements:
N/A


Age Specific groups served:
N/A

Physical Requirements (includes use of assistance devices as appropriate):

Physical:
Lifting 20-50 lbs.

Activities:
Prolonged standing, Frequent bending, Walking (distance), Reaching (overhead, extensive, repetitive)

Mental/Sensory:
Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking

Emotional:
Fast pace environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Able to adapt to frequent change

This job can be remote but in-person is preferred. Candidates must live in Virginia, Tennessee, Florida, North Carolina, or Maryland to work remote
Days
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