Credentialing Coordinator

Self Regional Healthcare Inc.; Kansas City (MO, SC); On-site; USD 42,000 - 56,000; Full time

Job summary

Self Regional Healthcare Inc. is seeking an experienced professional to assist in credentialing and privileging for physicians and licensed providers. You will obtain licensure, maintain certificates, and verify credentials, entering data and responding to requests with accuracy.

You will work onsite, participate in staff meetings, and keep credential files organized while querying NPDB and other boards as required by hospital policy.

Qualifications

• Associates degree preferred or 3-5 years’ healthcare experience.
• Must be organized and detail oriented.
• Strong interpersonal and communication skills.
• Proficient with computers and databases.

Responsibilities

• Assist in the credentialing and privileging process for physicians and other licensed independent providers.
• Obtain licensure, certification, and insurance certificates/verification prior to expiration and maintain information.
• Enter accurate and up-to-date data for each applicant into the database and respond to verification requests.
• Conduct health surveillance status as required by Medical Staff and hospital policy.
• Attends staff meetings, maintains credentials files, scans files per policies.
• Queries NPDB, OIG exclusions, and SC State Medical Board during appointment processes.
• Maintains the Referring provider database.

Skills

Organizational skills

Attention to detail

Prioritization

Problem solving

Report preparation

Confidentiality

Interpersonal skills

Computer literacy

Telephone communication

Education

Associates degree preferred

Tools

Computer

Telephone

Job description

Monday-Friday 8:00am-4:30pm, Onsite

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.