Credentialing Coordinator

Methodist Le Bonheur Healthcare; Memphis (TN); Remote; USD 40,000 - 80,000; Full time

Job summary

An established industry player in healthcare is seeking a Credentialing Coordinator to join their team. This role is crucial in ensuring compliance with regulatory bodies while maintaining the integrity of the credentialing process for medical staff. The ideal candidate will have a strong administrative background, excellent communication skills, and a commitment to providing high-quality care. This innovative organization values its employees and offers opportunities for professional growth and development, making it a rewarding place to work. Join a team dedicated to making a positive impact in the community and be part of a culture that embraces teamwork and excellence.

Qualifications

• 3-5 years of experience in credentialing processes.
• Strong knowledge of state regulatory requirements and accreditation standards.

Responsibilities

• Coordinate and maintain credentialing processes for medical staff.
• Administer practitioner database files ensuring integrity and completeness.

Skills

Administrative Skills

Knowledge of Regulatory Requirements

Communication Skills

Analytical Skills

Customer Service Skills

Typing Skills

Education

High School Diploma or Equivalent

Associate's Degree

Bachelor's Degree in Business Administration/Management

Bachelor's Degree in Healthcare Administration

Tools

Microsoft Word

Microsoft Excel

Microsoft Access

Microsoft PowerPoint

Job description

Credentialing Coordinator page is loaded

Credentialing Coordinator

Apply remote type Remote locations Remote Associate - Tennessee time type Full time posted on Posted 6 Days Ago job requisition id R-7475

If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One!

We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we’ve served the health care needs of the people of Memphis and the Mid-South.

A Brief Overview

Responsible for coordinating, monitoring and maintaining the Credentialing and Reappointment processes of Centralized Credentialing Organization. Facilitates and performs all aspects of credentialing, including appointment, reappointment, monitoring and privileging of the MHMH Medical Staff Members and Allied Health Professionals. Ensures compliance with the accrediting and regulatory agencies. Models appropriate behavior as exemplified in MLH Mission, Vision and Values.

What you will do

• Facilitates and performs all aspects of credentialing for the CCO including appointment and reappointment of Medical Staff and Allied Health Professionals in accordance with the policies and procedures and in accordance with guidelines of all Regulatory bodies including the TJC, NCQA, AAAHC and the appropriate states. Responsible for preparing files for review.
• Administers and maintains comprehensive practitioner database files and other records, files and reports with particular emphasis on integrity and completeness of documentation.
• Executes the Medical Staff and Allied Health privileging process in accordance with the MHMH Medical Staff Bylaws, Rules and Regulations, policies and procedures and in accordance with guidelines of all Regulatory bodies including the TJC and the appropriate states. Responsible for preparing files for review.
• Provides oversight, administrative, and technical support to the Medical Staff credentials committee facilitation in accordance with the Medical Staff Bylaws, policies and procedures.
• Prepares confidential or routine memoranda, letters, reports, meeting minutes and other correspondence for the Department.
• Performs other duties as assigned.

Education/Formal Training Requirements

• High School Diploma or Equivalent
• Associate's Degree
• Bachelor's Degree Business Administration/Management
• Bachelor's Degree Healthcare Administration

Work Experience Requirements

• 3-5 years Credentialing

Knowledge, Skills and Abilities

• Skill and proficiency in performing administrative responsibilities commensurate with requisite Education/Training.
• Significant working knowledge of State regulatory requirements and accreditation standards, including TJC, NCQA, AAAHC, and CMS standards.
• Ability to function with minimal supervision and to relate and communicate effectively with high level Associates within the hospital and in the community with medical staff and their office staffs.
• Ability to be tactful and exercise diplomacy and good judgment.
• Proficient in Microsoft Word, Excel, Access, and Power Point; proficient in mainframe system, databases, and spreadsheets.
• Ability to type 55 words per minute with minimum errors.
• Demonstrates deductive reasoning and ability to use reference materials.
• Ability to handle assignments independently with demonstrated analytical and interpersonal skills.
• Demonstrates ability to maintain excellent customer service skills and customer relations under stressful conditions.
• Experience with following processes and continually improving processes and workflow to gain efficiencies of performance.
• Ability to set priorities coordinates multiple tasks, organize tasks, and maintain control of workflow.

Supervision Provided by this Position

• There are no lead or supervisory responsibilities assigned to this job.

Physical Demands

• Occasional travel to other facilities and physician offices.
• Ability to read and write and to communicate both orally and in writing to other individuals.
• Ability to focus for extended periods of time requiring concentration and constant technical attention to details.
• Ability to lift and carry up to 20 lbs., periodically, throughout shift.
• Ability to push and pull, reach, bend and twist.
• Ability to stand, walk, sits in one place, squat and kneel periodically throughout shift.
• Must have good balance and coordination.
• Must have good repetitive hand and wrist motion.

Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and unity.

Education

Associates Degree, Bachelor's Degree: Business Administration/Management (Required), Bachelor's Degree: Healthcare Administration (Required), High School Diploma or Equivalent

Work Experience

Credentialing

Certifications

Boasting one of the South's largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see each day as a new opportunity to make a difference in the lives of the people in our community.

Why work here?

Within any role at Methodist Le Bonheur, you can play a rewarding and fulfilling part in helping us provide high-quality, innovative and compassionate care to the people of Memphis and the Mid-South.

Get In Touch

Introduce yourself to our recruiters and we'll get in touch if there's a role that seems like a good match.

About Us

Our goal is to improve every life we touch, including our Associates. For over a century, we’ve served the health care needs of the people of Memphis and the Mid-South, and we value the dedicated individuals who play such a crucial role in helping us fulfill our mission. With Methodist Le Bonheur, you’ll be recognized and rewarded, treated with respect and given many opportunities to learn, grow and build a fulfilling career. Because we’re not at our best until you are at yours.