Coordinator Credentialing - Staff Credentialing

CHRISTUS Health; Texarkana (TX); On-site; USD 55,000 - 65,000; Full time

Job summary

CHRISTUS Health in Texarkana, TX seeks a Credentialing Specialist to coordinate and monitor credentialing and re-credentialing for the CVO, ensuring compliance with accrediting and regulatory agencies. You will verify information, maintain the credentialing database, and respond to client inquiries while safeguarding data integrity.

The role requires attention to detail, knowledge of credentialing statutes, and the ability to meet performance metrics.

Qualifications

• Bachelor's Degree preferred.
• High School Diploma or equivalent required.
• 3+ years of credentialing experience preferred.
• Certified Provider Credentialing Specialist (CPCS) preferred.

Responsibilities

• Coordinating, monitoring, and maintaining the credentialing and re-credentialing process.
• Conducts primary source verification and investigates discrepancies.
• Maintains credentialing database, generates reports, and ensures data integrity.
• Responds to inquiries and interfaces with internal/external customers on credentialing issues.
• Meets weekly performance metrics for file completion, quality, and turnaround time.
• Maintains strict confidentiality of all data.

Education

Bachelor's Degree

High School Diploma or equivalent

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