Credentialing Coordinator, Anesthesiology (Remote)

Prestige Staffing; Atlanta (GA); On-site; USD 50,000 - 70,000; Full time

Job summary

Prestige Staffing is seeking a Credentialing Coordinator for a remote contract role with a large hospital. The successful candidate will coordinate the credentialing processes for Medical Staff and Allied Health professionals within the Anesthesiology division.

The position requires 5 years of credentialing experience, communication skills, and the ability to multitask. Proficiency with MS Office and knowledge of accreditation standards are also essential. Responsibilities include ensuring compliance, maintaining documentation, and resolving credentialing issues.

Qualifications

• 5 years of credentialing experience in an acute care hospital or managed care.
• Able to pass a criminal background check and drug test.
• Basic knowledge of accreditation standards and medical terminology is preferred.

Responsibilities

• Facilitate all clinical privileging and re-credentialing processes.
• Ensure compliance with policies and verification of practitioner files.
• Assist in the resolution of credentialing issues and process improvements.

Skills

Credentialing experience

Problem solving

Multitasking

MS Office proficiency

Communication skills

Education

High school diploma or equivalent

Bachelor's degree

Tools

MSOW

EPIC

Job description

Prestige Staffing is looking for an individual for a contract role for a large hospital. The Credentialing Coordinator will work under minimal guidance and as an independent contributor, directs the review, recommendation, approval, and notification processes for credentialing activities related to the privileging of Medical Staff and Allied Health professionals for the Anesthesiology division (200+ providers). This will be a remote role and must provide own equipment along with high speed internet.

Job Duties

• Serves as a primary departmental contact between the division’s clinical leadership and the medical staff to facilitate all clinical privileging, reappointments/re-credentialing, provider licensing and billing enrollment for timely onboarding of providers for all sites.
• Partners with Departmental leadership and the credentialing office to oversee the departmental credentialing process for appointments/reappointments in compliance with the clinical site bylaws.
• Confirms providers are licensed, privileged, and enrolled in billing by their start dates and continuously during the provider’s tenure with facility.
• Ensures compliance with policies, procedures and regulatory guidelines and provides accurate verification of practitioner files for initial appointment and re-credentialing.
• Create and maintain tracking reports as requested. Identifies, investigates, and assists in the resolution of potential credentialing and enrollment issues, and participate in continual process improvement and customer service processes.
• Act as an intermediary between the employee, departmental leadership, recruitment, HR pre-employment, Employee Health, Risk & Insurance Services, and the department’s access coordinator to confirm that all pre-employment and onboarding activities are completed in a timely manner.
• Serve as a quick-turnaround specialist as needed and process requests for the credentialing and enrollment of providers during periods of high volume, departmental moves, add-ons, or as requested by leadership with responsibility for deciding and communicating the appropriate timeline, processing the file or application, and coordinating with the appropriate stakeholders to ensure the provider goes through all applicable committee processes and/or meets all applicable deadlines.
• In addition to facilitating the credentialing process, role will be perform complex assignments and responsibilities as required and resolve issues and problems referred by staff or the supervisor, participate in the development and administration of departmental policies and procedures, and oversee the maintenance of required record-keeping and documentation as determined by Emory Healthcare policy.
• Assist department in addressing and following up on identified and escalated issues, help departmental credential coordinators interpret state, local and Emory policy regulations and participate in team training as requested.

Minimum Qualifications

• High school diploma or equivalent and 5 years of credentialing experience in an acute care hospital, managed care organization and/or credentialing verification organization
• A bachelor's degree and 1+ year of credentialing experience
• Able to pass a criminal background check and drug test
• Able to go into the office daily
• Able to use MS Office products with ease
• Reliable and on time
• Problem solver
• Able to multitask
• MSOW or Morrisey experience
• EPIC experience a plus
• Basic knowledge of accreditation standards and state and federal credentialing related regulations and a working knowledge of medical terminology are preferred.