Hospital Credentialing Coordinator- Medical Administration- Remote

VCU Health; Richmond (VA); Remote; USD 50,000 - 70,000; Full time

Job summary

A leading healthcare organization is seeking a Credentialing Specialist to oversee the credentialing processes for clinicians. This role offers opportunities for career advancement and allows for remote work. The ideal candidate will have a strong background in credentialing, excellent organizational skills, and the ability to manage multiple priorities effectively.

Qualifications

• Minimum of three years of credentialing experience in a healthcare setting.
• Knowledge of local, federal, and state laws related to credentialing.

Responsibilities

• Oversee credentialing and privileging functions for clinicians.
• Interact with clinicians to ensure data accuracy and completeness.
• Attend medical staff committee meetings as assigned.

Skills

Credentialing

Medical Terminology

Organizational Skills

Education

Associates or Bachelor's degree

Tools

Microsoft Office

Job description

Employer Industry: Healthcare Services

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Work remotely while being located in Virginia, Tennessee, Florida, North Carolina, or Maryland
- Supportive and collaborative work environment
- Chance to make a positive impact on clinician credentialing processes
- Strong emphasis on maintaining confidentiality and professional discretion

What to Expect (Job Responsibilities):
- Oversee all aspects of initial credentialing, re-credentialing, and privileging functions for clinicians at the employer's hospitals
- Interact with clinicians to obtain applications and pertinent documents, ensuring data accuracy and completeness
- Monitor receipt and follow up on responses to ensure timely processing
- Notify the supervisor of any adverse, incomplete, or questionable data
- Attend medical staff committee meetings and provide support to medical staff officers and departments as assigned

What is Required (Qualifications):
- Minimum of three (3) years of credentialing and medical terminology experience in a hospital or managed care credentialing setting
- Proficiency in Microsoft Office applications, including Access, Word, and Excel, as well as credentialing software
- Associates or Bachelor's degree or equivalent experience in lieu
- Ability to prioritize work assignments effectively and efficiently
- Knowledge of local, federal, and state laws and regulations related to credentialing

How to Stand Out (Preferred Qualifications):
- Five (5) years of previous experience in credentialing within a healthcare environment
- Previous experience with JCAHO, URAC, and NCQA guidelines
- Certified Professional in Medical Services Management (CPMSM)
- Strong organizational skills with extreme attention to detail
- Ability to handle multiple priorities in a fast-paced environment

#HealthcareServices #Credentialing #RemoteWork #CareerOpportunity #ProfessionalDevelopment

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