Coordinator Credentialing - Staff Credentialing

CHRISTUS Health; Irving (TX); On-site; USD 55,000 - 75,000; Full time

Job summary

CHRISTUS Health is seeking a Credentialing Coordinator to coordinate and monitor credentialing and re-credentialing processes within the CVO. You will ensure compliance with accrediting bodies and maintain an accurate credentialing database, handling sensitive information with strict confidentiality.

The role requires investigating applications, verifying documents, and issuing timely, high-quality data to clients, while meeting performance metrics and supporting related privilege processes.

Qualifications

• Bachelor's degree preferred; High School Diploma or equivalent required.

Responsibilities

• Coordinate and monitor practitioner applications and accompanying documents, ensuring applicant eligibility.
• Conduct thorough investigation, research, and primary source verification of all components of the application file.
• Identify issues needing further investigation and follow up on discrepancies.
• Review documentation prior to submittal to clients, ensuring timely turnaround and data quality.
• Maintain the credentialing database, run queries, generate reports, and uphold data confidentiality.

Education

Bachelor's Degree preferred

High School Diploma or equivalent required

Job description

Summary

Responsible for coordinating, monitoring, and maintaining the credentialing and re-credentialing process within the CVO. Ensures interpretation and compliance with the appropriate accrediting and regulatory agencies, while developing and maintaining a working knowledge of the statues and laws relating to credentialing. Responsible for the accuracy and integrity and developing a credentialing database.

Responsibilities

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Coordinates and monitors the review and analysis of practitioner applications and accompanying documents, ensuring applicant eligibility.
• Conducts thorough investigation, research, and primary source verification of all components of the application file.
• Identifies issues that require additional investigation and evaluation, validates discrepancies, and ensures appropriate follow-up.
• Reviews necessary documentation and verifications prior to submittal to clients, ensuring turnaround time and quality of data is within required metrics.
• Responds to inquiries from other healthcare organizations, interfaces with internal/ external customers on day-to-day credentialing/privileging issues as they arise.
• Meets weekly performance metrics which includes: file completion, quality, and turnaround time.
• Utilizes and maintains the credentialing database, optimizing efficiency, and performs queries, reports, and document generation.
• Maintains strict confidentiality of all data and information.
• Performs miscellaneous job-related duties as assigned.

Job Requirements

Education/Skills

• Bachelor's Degree preferred
• High School Diploma or equivalent required

Experience

• Minimum of 3 years of relevant credentialing experience preferred

Licenses, Registrations, or Certifications

• Certified Provider Credentialing Specialist (CPCS) preferred

Work Schedule

8AM - 5PM Monday-Friday

Work Type

Full Time