Hospital Credentialing Coordinator- Medical Administration- Remote

Virginia Commonwealth University Health; Richmond (VA); Remote; USD 50,000 - 80,000; Full time

Job summary

An established industry player is seeking a Hospital Credentialing Coordinator to manage credentialing processes for clinicians. This remote position requires a minimum of three years of experience in hospital credentialing, focusing on initial and reappointment applications. The role involves evaluating applications, ensuring compliance with regulations, and maintaining confidentiality. Ideal candidates will possess strong organizational and communication skills, as well as proficiency in Microsoft Office and credentialing software. Join a dynamic team where your expertise will contribute to the efficient operation of medical staff services in a healthcare environment.

Qualifications

• 3+ years of credentialing experience in a hospital setting.
• Proficient in Microsoft Office and credentialing software.
• Strong organizational skills and attention to detail.

Responsibilities

• Manage all aspects of credentialing for medical staff.
• Evaluate applications for accuracy and completeness.
• Ensure compliance with hospital bylaws and regulations.

Skills

Credentialing

Medical Terminology

Organizational Skills

Communication Skills

Problem Solving

Education

Associates or Bachelors degree

Degree in Business or Healthcare

Tools

Microsoft Office Access

Microsoft Word

Microsoft Excel

Credentialing Software

Job description

Hospital Credentialing Coordinator- Medical Administration- Remote

Apply locations: Remote - VA Richmond, VA
Time type: Full time
Posted on: Posted 2 Days Ago
Job requisition id: R34158
This is a remote position that requires candidates be local to Virginia.

We are seeking an experienced professional in credentialing who specifically has at least 3 years of experience in hospital credentialing. This experience should include processing initial and reappointment applications with a focus on assessing privileges.

The Credentialing Coordinator is responsible for all aspects of the initial credentialing, re-credentialing, and privileging functions for all clinicians on medical and allied health staff at the VCU Health System Hospitals. The Coordinator interacts with clinicians to obtain applications and pertinent documents, evaluates data for accuracy and completeness, monitors receipt and follow-up responses, ensuring timely and efficient processing. This position notifies the supervisor Director of any adverse, incomplete, or questionable data. This role works independently and is able to assess situations, consider alternatives, and choose the appropriate course of action. The Coordinator demonstrates sound organizational ability and effectively sets priorities while maintaining strict confidentiality and professional discretion. Compliance with hospital bylaws and local, state, and federal requirements is essential. The Coordinator assists the Director in development, planning, organization, and control of the operation of the Medical Staff Office to meet the mission and goals of the hospital and the requirements of the Medical Staff Bylaws, JCAHO, NCQA Standards, and other applicable federal, state, and local regulatory and/or accrediting agencies. This job attends medical staff committee meetings as directed and interacts with medical staff officers, departments, and chairs as assigned.

Licensure, Certification, or Registration Requirements for Hire:
Certified Provider Credentialing Specialist (CPCS) preferred.

Experience REQUIRED:
Minimum of three (3) years previous credentialing and medical terminology experience in a hospital or managed care credentialing setting.
Previous experience using a personal computer and various applications, including Microsoft Office Access, Word, and Excel, and credentialing software.

Experience PREFERRED:
Five (5) years of previous experience in credentialing in a health care environment.
Previous experience with the application of JCAHO, URAC, and NCQA guidelines.
Certified Professional in Medical Services Management (CPMSM).

Education/training REQUIRED:
Associates or Bachelors degree or experience in lieu.

Education/training PREFERRED:
Associates or Bachelors Degree in Business, Healthcare, or a closely related field.

Independent action(s) required:
Expresses ideas and exchanges information clearly and concisely.
Demonstrates the ability to prioritize work assignments effectively and efficiently within the scope of the employee’s responsibility.
Effective development of relationships with other members of the team (i.e., non-clinical personnel, etc.).
Highly motivated individual with independent work habits.
Organizational skills, proficiency in MS Office Access, Word, and Excel, credentialing software, and numerous hospital databases with extreme attention to detail are critical indicators for success in this role.
Ability to multi-task in a stressful and limited time-constrained environment.
Must possess knowledge of local, federal, and state laws and regulations and JCAHO standards related to the position’s chief objective and demonstrate aptitude for compliance with VCUHS policies, procedures, and customer service philosophy.

Supervisory responsibilities (if applicable): N/A

Additional position requirements: N/A

Age Specific groups served: N/A

Physical Requirements (includes use of assistance devices as appropriate):
Physical: Lifting 20-50 lbs.
Activities: Prolonged standing, Frequent bending, Walking (distance), Reaching (overhead, extensive, repetitive).
Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking.
Emotional: Fast pace environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Able to adapt to frequent change.

This job can be remote but in-person is preferred. Candidates must live in Virginia, Tennessee, Florida, North Carolina, or Maryland to work remotely.

Days
EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.