Credentialing Coordinator PRN

United Surgical Partners International Inc (USPI); Trophy Club (TX); On-site; USD 52,000 - 70,000; Full time

Job summary

Baylor Scott & White Medical Center at Trophy Club is seeking a Credentialing Coordinator II to verify professional licensing, training and certifications of medical staff and ensure compliance with Joint Commission and CMS standards.

The role supports privileging processes, collaborates with senior management, and maintains effective relationships with physicians, employees and vendors to meet facility goals.

Qualifications

• Must maintain confidentiality.
• Able to read and comprehend complex instructions and memos.
• Ability to write complex correspondence.
• Effective in presenting information to physicians and staff.
• Follow detailed written and oral instructions.
• Handle problems with a few variables in standard situations.
• Strong computer skills, especially Excel.
• Knowledge of credentialing software is critical.
• Able to prioritize multiple projects.

Responsibilities

• Verify professional licensing, training and certifications of medical staff.
• Ensure compliance with federal, state, and Joint Commission standards.
• Coordinate credentialing, privileging and related processes for practitioners.
• Maintain relationships with physicians, employees, volunteers and vendors.
• Collaborate with Senior Management to meet facility goals.
• Apply bylaws, accreditation standards and CMS requirements.

Skills

Confidentiality

Complex instructions

Written communication

Group presentations

Instruction following

Problem solving

Excel

Credentialing software

Multi-project management

Independent decision-making

Policy knowledge

Tools

Credentialing software

Job description

Credentialing Coordinator II

Job Summary: The Credentialing Coordinator II verifies the professional licensing, training, and certifications of professional medical staff at Baylor Scott & White Medical Center at Trophy Club. The primary goal is to ensure healthcare professionals and services meet all established federal and state standards, as well as The Joint Commission standards. This position establishes effective working relationships with all constituencies including physicians, employees, volunteers and vendors. The Credentialing Coordinator II works with Senior Management in meeting Facility goals according to the bylaws and The Joint Commission and CMS requirements. All functions related to the credentialing, privileging, and processes to accommodate practitioners applying for or maintaining privileges at Baylor Scott & White Medical Center at Trophy Club.

• Ability to maintain confidentiality
• Read and comprehend complex instructions, business correspondence and memos.
• Write complex correspondence.
• Effectively present information in group situations to patients, physicians and other employees of the organization.
• Apply common sense understanding to carry out detailed written or oral instructions.
• Deal with problems involving a few concrete variables in standardized situations.
• Strong computer knowledge and technical skills; specifically, with Excel.
• Knowledge of Credentialing software is critical.
• Prioritize and handle multiple projects.
• Independent decision-making skills.
• Demonstrate thorough knowledge and understanding of the policies and guidelines, facility credentialing plan and Bylaws and the accreditation/credentialing standards established by JCAHO, AAAHC, NCQA, and HCFA.