Credentialing Coordinator

Self Regional Healthcare; Greenwood (SC); On-site; USD 42,000 - 62,000; Full time

Job summary

Self Regional Healthcare in Greenwood, SC seeks an administrative professional to assist in the credentialing and privileging process for physicians and licensed independent providers. You will verify licensure, certifications, and insurance certificates before expiration and maintain data in the credentialing database.

Responsibilities include health surveillance per policy, data entry for each applicant, responding to verification requests, and maintaining files.

Qualifications

• Associates degree preferred or 3–5 years’ experience, preferably in healthcare.
• Strong interpersonal, computer, and telephone skills.
• Must be organized, detail oriented, and able to set priorities.
• Ability to prepare reports, maintain confidentiality, and collaborate with multiple departments.

Responsibilities

• Assist in credentialing and privileging for physicians and licensed independent providers.
• Obtain licensure, certification, and insurance certificates and verify before expiration.
• Maintain information in the credentialing database and respond to verification requests.
• Enter accurate data for each applicant and monitor health surveillance as required.
• Query NPDB, OIG exclusions, and SC State Medical Board as part of appointments.
• Maintain the Referring provider database and scan files per policy.
• Attend staff meetings and perform other duties as requested.

Skills

Interpersonal skills

Computer skills

Telephone communication

Detail oriented

Education

Associates degree preferred

Job description

Self Regional Healthcare
1325 Spring St
Greenwood, SC 29646, USA

Self Regional Healthcare
1325 Spring St
Greenwood, SC 29646, USA

Assists in the credentialing and privileging process for physicians and other licensed independent providers, as directed by the Manager of Medical Staff Services. Obtains licensure, certification, and insurance certificates/verification prior to expiration and maintains information in database. Conducts health surveillance status as required by Medical Staff and hospital policy. Enters accurate and up-to-date data for each applicant into the database and responds to verification requests. Makes copies, prepares mailings, attends staff meetings, maintains credentials files, etc. Queries the National Practitioner Data Bank, OIG exclusions, and SC State Medical Board as part of the appointment and reappointment processes. Maintains the Referring provider database. Scans files in accordance with policies and procedures. Performs any other work-related duties as requested by the Manager of Medical Staff Services.

Job Qualifications:

• Associates degree preferred or 3-5 years’ experience (preferably in healthcare)
• Must have good interpersonal/computer/telephone Must be organized and detail oriented. Must be able to set priorities, solve problems, prepare reports, maintain efficiency/confidentiality, work well with all departments, and medical staff; be trustworthy, discrete, and cooperative.

Qualifications

Skills

Behaviors

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Motivations

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Education

Experience

Licenses & Certifications

Equal Opportunity Employer
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