Credentialing Privileging Coordinator

Children's Hospital of Philadelphia; Philadelphia (Philadelphia County); On-site; USD 63,000 - 80,000; Full time

Job summary

CHOP seeks a credentialing administrator to maintain credentialing, licensure or accreditation compliance across departments at our Philadelphia campus. You will communicate with leadership regularly to review status, advise on anticipated problems, perform recordkeeping, and ensure primary source verifications are timely while upholding confidentiality and service excellence.

This role supports periodic audit data submissions, site visits, and regulatory requirements, with a focus on accuracy,

Qualifications

• High School Diploma / GED required.
• Bachelor's Degree preferred.
• At least three (3) years education, medical staff or physician related credentialing experience required.
• At least five (5) years education, medical staff or physician related credentialing experience preferred.

Responsibilities

• Maintain credentialing, licensure or accreditation compliance.
• Communicate with leadership regularly to review status and criteria to ensure compliance with CHOP and regulatory standards.
• Advise leadership of anticipated problems involving credentialing, licensure or accreditation.
• Maintain and perform computerized and/or manual recordkeeping functions.
• Monitor data collection to ensure licensure and credentials are current.
• Coordinate periodic requests for information from stakeholder departments such as Public Relations, Development and Marketing.
• Ensures that primary source verifications are performed in a timely manner.
• Provide administrative oversight for internal systems.
• Develop and maintain automated response programs for accurate notification of time-sensitive documents pending expiration.
• Continually review internal documents and updates as required for regulatory compliance.
• Assures superior credentialing customer service.
• Use independent judgment when problem solving; Seek assistance from manager, team lead, or team member immediately when necessary.
• Recognize customer concerns, prioritize them appropriately and follow-up within 24 hrs on all queries.
• Monitor compliance of assigned departments for all outstanding documents, files and/or signatures required to complete appointments and/or reappointments.
• Provide administrative support to leadership.
• Provide support for periodic projects as required as part of ongoing effort to regulatory requirements.
• Coordinate related annual activities including audit data submission, site visits and surveys.

Skills

Office suite

Verbal and written communications

Organizational skills

Time management

Confidentiality

Stakeholder collaboration

Education

High School Diploma / GED

Bachelor's Degree preferred

Tools

Microsoft Office

Job description

SHIFT: Day (United States of America)

Seeking Breakthrough Makers

Children's Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation.

At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care-and your career.

CHOP does not discriminate on the basis of race, color, sex, national origin, religion, or any other legally protected categories in any employment, training, or vendor decisions or programs. CHOP recognizes the critical importance of a workforce rich in varied backgrounds and experiences and engages in ongoing efforts to achieve that through equally varied and non-discriminatory means.

A Brief Overview

This role performs detailed and diversified administrative and clerical functions relating to maintenance of all documentation and credentialing.

What you will do

• Maintain credentialing, licensure or accreditation compliance
• Communicate with leadership regularly to review status and criteria to ensure compliance with CHOP and regulatory standards.
• Advise leadership of anticipated problems involving credentialing, licensure or accreditation
• Maintain and perform computerized and/or manual recordkeeping functions
• Monitor data collection to ensure licensure and credentials are current
• Coordinate periodic requests for information from stakeholder departments such as Public Relations, Development and Marketing
• Ensures that primary source verifications are performed in a timely manner
• Provide administrative oversight for internal systems
• Develop and maintain automated response programs for accurate notification of time-sensitive documents pending expiration
• Continually review internal documents and updates as required for regulatory compliance
• Ensure that primary source verifications are performed in a timely manner
• Assures superior credentialing customer service
• Use independent judgment when problem solving; Seek assistance from manager, team lead, or team member immediately when necessary
• Recognize customer concerns, prioritize them appropriately and follow-up within 24 hrs on all queries
• Monitor compliance of assigned departments for all outstanding documents, files and/or signatures required to complete appointments and/or reappointments
• Provide administrative support to leadership
• Provide support for periodic projects as required as part of ongoing effort to regulatory requirements
• Coordinate related annual activities including audit data submission, site visits and surveys

Education Qualifications

• High School Diploma / GED Required
• Bachelor's Degree Preferred

Experience Qualifications

• At least three (3) years education, medical staff or physician related credentialing experience Required
• At least five (5) years education, medical staff or physician related credentialing experience Preferred

Skills and Abilities

• Advanced proficiency with office software (Microsoft Office) including word processing and spreadsheet software (Word, Excel. Adobe)
• Intermediate proficiency with processing renewals, verifications and data searches
• Intermediate knowledge of credentialing management database systems
• Excellent verbal and written communications skills
• Strong organizational skills
• Strong time management skills
• Strong conflict resolution skills
• Ability to maintain confidentiality and professionalism
• Ability to collaborate with stakeholders at all levels

To carry out its mission, CHOP is committed to supporting the health of our patients, families, workforce, and global community. As a condition of employment, CHOP employees who work in patient care buildings or who have patient facing responsibilities must receive an annual influenza vaccine. Learn more.

EEO / VEVRAA Federal Contractor | Tobacco Statement

SALARY RANGE:

$62,900.00 - $80,200.00 Annually

Salary ranges are shown for full-time jobs. If you're working part-time, your pay will be adjusted accordingly.

At CHOP, we are committed to fair and transparent pay practices. Factors such as skills and experience could result in an offer above the salary range noted in this job posting. Click here for more information regarding CHOP's Compensation and Benefits.