CREDENTIALING COORDINATOR

Moffitt Cancer Center; Berlin; On-site; EUR 25,000 - 39,000; Full time

Job summary

Moffitt Cancer Center is seeking a Credentialing Coordinator to independently lead credentialing and privileging for Medical Staff Appointment and Membership. You will ensure compliance with applicable standards and review provider applications, qualifications and documentation.

The role covers managed care credentialing and Health Plan enrollment, with a minimum education of an Associate’s degree (Bachelor’s preferred) and at least three years’ relevant experience in healthcare settings.

Qualifications

• Associate’s degree required; Bachelor’s preferred.
• High school diploma plus 5 years’ relevant experience acceptable.
• Three years’ relevant experience in healthcare/office settings required.
• Experience with hospital or managed care credentialing preferred.

Responsibilities

• Lead credentialing and privileging for Medical Staff Appointment and Membership.
• Independently review provider applications, qualifications, training and documentation.
• Oversee Managed Care credentialing and Health Plan enrollment.

Skills

Independent judgement

Team collaboration

Communication skills

Microsoft Office

Credentialing software

Research skills

Database querying

CPCS certification

Education

Associate’s Degree

High school diploma + 5 years experience

Bachelor’s degree preferred

Tools

Microsoft Word

Microsoft Excel

Microsoft Outlook

Credentialing software

Database management

Job description

Working at Moffitt is both a career and a mission: to contribute to the prevention and cure of cancer.

As the only National Cancer Institute-designated Comprehensive Cancer Center based in Florida, Moffitt employs some of the best and brightest minds from around the world. Join a dedicated team of nearly 11,000 who are shaping the future we envision. Moffitt has been recognized as a Best and Brightest Company to Work For in the Nation and is continually named one of the Tampa Bay Times’ Top Workplaces.

Summary

The Credentialing Coordinator, independently leads the credentialing and the privileging of each individual practitioners applying for Medical Staff Appointment and Membership and ensures compliance with Medical Staff Bylaws, The Joint Commission (TJC) Medical Staff standards, National Commission on Quality Assurance (NCQA) standards, State regulations and Conditions of Medicare Standards (CMS) and Utilization Review Accreditation Commission (URAC) as applicable and related to medical staff credentialing and privileging.

The coordinator conducts an in-depth review and analysis of the provider’s application, qualifications, training, experience and accompanying documentation.

The coordinator leads all duties related to the Managed Care credentialing/re-credentialing process and Health Plan enrollment.

Minimum Education: Associate’s Degree

In lieu of an Associate’s degree, applicants with a high school diploma or equivalent with minimum five (5) years’ relevant experience will be considered. Bachelor’s degree preferred.

Required Experience: Three (3) years’ relevant experience in an office, academic or healthcare setting is required. Experience in hospital and or managed care credentialing preferred.

Skills/Training:

• Ability to analyze and use independent judgement to determine a course of action; manage and impart confidential information.
• Works independently, is self-directed and effective in a high paced team environment. Ability to organize, prioritize, coordinate and follow through on multiple activities and tasks in a timely manner.
• Exceptional communication and customer relation skills.
• Demonstrated proficiency in use of Microsoft Office applications (Word, Excel, Outlook), credentialing software, and conducting research using various internet resources and websites. Database management skills, including querying, reporting and document generation.
• CPCS certification preferred.

Salary Range

$20.64 - $31.47

Salary ranges posted for this position represent the expected base pay range for the role. Actual compensation may vary based on location and a variety of job-related factors, including experience, skills, education, and internal equity among Team Members in similar positions.

We are committed to maintaining fair and equitable pay practices and regularly review compensation to ensure alignment across our workforce.

_ If you have the vision, passion, and dedication to contribute to our mission, _

_ then we have a place for you! _

1. Equal Employment Opportunity

Moffitt Cancer Center is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, or protected veteran or disabled status. We seek candidates whose skills, and personal and professional experience, have prepared them to contribute to our commitment to diversity and excellence.

2. Reasonable Accommodation

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment. Moffitt endeavors to make moffitt.org/careers accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact one of the Human Resources receptionists by phone at 813-745-7899 or by email [e-mail]. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

Read more information about your EEO rights under the law.

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