Credentialing Coordinator

1004 Lehigh Valley Hospital; Durham (NC); On-site; USD 45,000 - 60,000; Full time

Job summary

A leading health network seeks a Credentialing Coordinator to manage the credentialing process for providers. This position involves analyzing applications, ensuring compliance with health standards, and providing support to medical staff committees. Ideal candidates will have a high school diploma or GED and relevant experience in a medical office setting. Join a respected organization that values teamwork and excellence in patient care.

Qualifications

• 3 years of experience in a medical staff office or insurance credentialing.
• Knowledge of The Joint Commission and NCQA standards.

Responsibilities

• Analyze applications for appointment and reappointment.
• Prepare for regulatory surveys and third-party audits.
• Assist in developing credentialing policies and procedures.

Skills

Knowledge of credentialing standards

Analytical skills

Attention to detail

Education

High School Diploma/GED

Associate’s Degree in human resources or related field

CMSC - Certified Medical Staff Coordinator

Job description

Credentialing Coordinator page is loaded

Credentialing Coordinator

Apply locations Allentown, PA time type Full time posted on Posted 3 Days Ago job requisition id JR120113

Imagine a career at one of the nation's most advanced health networks.

Be part of an exceptional health care experience. Join the inspired, passionate team at Lehigh Valley Health Network, a nationally recognized, forward-thinking organization offering plenty of opportunity to do great work.

LVHN has been ranked among the "Best Hospitals" by U.S. News & World Report for 23 consecutive years. We're a Magnet(tm) Hospital, having been honored five times with the American Nurses Credentialing Center's prestigious distinction for nursing excellence and quality patient outcomes in our Lehigh Valley region. Finally, Lehigh Valley Hospital - Cedar Crest, Lehigh Valley Hospital - Muhlenberg, Lehigh Valley Hospital- Hazleton, and Lehigh Valley Hospital - Pocono each received an 'A' grade on the Hospital Safety Grade from The Leapfrog Group in 2020, the highest grade in patient safety. These recognitions highlight LVHN's commitment to teamwork, compassion, and technology with an unrelenting focus on delivering the best health care possible every day.

Whether you're considering your next career move or your first, you should consider Lehigh Valley Health Network.

Summary
Performs all functions of the credentialing process, initial and reappointment of providers. Provides support to various Medical Staff Committees including meeting preparation, minute taking, and expediting actions through approvals process.

Job Duties

• Analyzes applications for appointment and reappointment.
• Identifies and incorporates DOH, HFAP, The Joint Commission, NCQA standards, and guidelines ensuring compliance by the Hospital, Staff Development Plan, and Credentials Verification Organization.
• Assists departmental Chairs/Physician in Chiefs, Division Chiefs, and Medical Directors in fulfilling respective roles in the credentialing process.
• Determines need and pursues follow-up of activity subsequent to meetings: Credentials, MEC, and Board of Trustees/Directors.
• Identifies issues and recommends for corrective action which may include modification of policies and procedures and/or Bylaws.
• Prepares for and participates in regulatory surveys and third party audits.
• Provides assistance in development and enhancement of the Medical Staff database.
• Provides assistance in the development of policies and procedures related to credentialing activities.

Minimum Qualifications

• High School Diploma/GED
• 3 years of experience in a medical staff office setting and/or insurance credentialing.
• Knowledge of The Joint Commission, NCQA, Pennsylvania Dept. of Health, and Federal standards guiding the principles of credentialing and privileging.

Preferred Qualifications

• Associate’s Degree in human resources or related field. or
• CMSC - Certified Medical Staff Coordinator - State of Pennsylvania within 3 Years

Physical Demands
Lift and carry 7 lbs., continuous sitting >67%, frequent keyboard use/repetitive motion, frequent fine motor activity/wrist position deviation.

Job Description Disclaimer: This position description provides the major duties/responsibilities, requirements and working conditions for the position. It is intended to be an accurate reflection of the current position, however management reserves the right to revise or change as necessary to meet organizational needs. Other responsibilities may be assigned when circumstances require.

Lehigh Valley Health Network is an equal opportunity employer. In accordance with, and where applicable, in addition to federal, state and local employment regulations, Lehigh Valley Health Network will provide employment opportunities to all persons without regard to race, color, religion, sex, age, national origin, sexual orientation, gender identity, disability or other such protected classes as may be defined by law. All personnel actions and programs will adhere to this policy. Personnel actions and programs include, but are not limited to recruitment, selection, hiring, transfers, promotions, terminations, compensation, benefits, educational programs and/or social activities.

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Lehigh Valley Health Network does not accept unsolicited agency resumes. Agencies should not forward resumes to our job aliases, our employees or any other organization location. Lehigh Valley Health Network is not responsible for any agency fees related to unsolicited resumes.

Work Shift:

Day Shift

Address:

707 Hamilton St

Primary Location:

One City Center

Position Type:

Onsite

Union:

Not Applicable

Work Schedule:

Monday-Friday 08:00am-4:30pm

Department:

1004-13096 COH-Medical Staff Services