Lead Credentialing Coordinator - Medical Staff Office

TriHealth; Cincinnati (OH); On-site; USD 60,000 - 90,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Tuition reimbursement

PTO

Job summary

TriHealth in Norwood, OH seeks a Lead Credentialing Coordinator to manage timely credentialing and processing for initial appointments and reappointments. You will provide executive support for Credentials and the Medical Executive Committee while guiding colleagues and leadership on practitioner competency and compliance.

The role emphasizes confidentiality, strong communication, and the ability to handle high workload in a healthcare environment, reporting to the Director of the Medical Staff

Qualifications

• Experience with credentialing for medical staff or healthcare providers.
• Ability to audit and review applications for Medical Staff Appointment/Privileges.
• Excellent verbal, written, and interpersonal communication; maintain confidentiality.

Responsibilities

• Timely credentialing/processing of applications for initial appointment and reappointments.
• Performs executive support for Credentials and Medical Executive Committee activities.
• Provides support and guidance to colleagues and medical staff leadership in determining practitioner competency.
• Monitors development and maintenance of a credible credentialing process with routine auditing of applications.

Skills

Interpersonal communication

Prioritization

Data collection

Education

High School Diploma or GED

Business school / college coursework or certification

Job description

Job Description

At TriHealth, you'll be part of an award-winning healthcare system committed to delivering exceptional patient care and improving community health. We invest in our team members through professional development, advanced training opportunities, and supportive leadership. Whether you're beginning your career or bringing years of experience, you'll find a purpose-driven culture where your contributions are valued and your growth is encouraged.

Location: Norwood, OH

Work Schedule

• Full-Time (80 hours bi-weekly)
• Days
• No weekends, no holidays

Incentives & Benefits

We offer a comprehensive benefits package, including medical, dental, vision, paid time off, retirement plans, and tuition reimbursement. For more information, please visit our benefits page: https://careers.trihealth.com/what-we-offer/benefits

Job Requirements

• High School Diploma or GED Degree (Required)
• 1 - 2 years of business school, college, university or specialty certification. (Required)
• 3 - 4 years of professional experience. (Required)
• Medical staff credentialing or healthcare credentialing
• CPCS – Cert Provider Credentialing Spec within 1 Year Required

Job Overview

This position reports to the Director of the Medical Staff Services. Duties and responsibilities include credentialing/processing of applications for initial appointment, facilitating reappointments and performing executive support for Credentials and Medical Executive Committee activities. The Lead credentialing coordinator must provide needed support and guidance to colleagues and medical staff leadership in determining the competency of practitioners to provide high quality, safe patient care, reduce the risk of organizational liability for poor care and/or patient harm and physical ability to discharge patient care responsibilities. This requires development and maintenance of a credible process including routine auditing and reviewing of Applications for Medical Staff Appointment / Privileges; ability to work independently; provision of diligent data collection and evaluation; exercise critical thinking and judgment in identifying potential concerns regarding an applicant's licensure, education, training, current competence; prioritize numerous tasks in a fast-paced environment; excellent verbal, written and interpersonal communication skills; ensures confidentiality of physician data; exhibits high level of professionalism and diplomacy. The Lead Credentialing Coordinator must be capable of guiding and ensuring appropriate follow-up and action to address any potential concerns.

Job Responsibilities

• Timely credentialing/processing of applications for initial appointment and reappointments.
• Performs executive support for Credentials and Medical Executive Committee activities.
• Provides needed support and guidance to colleagues and medical staff leadership in determining the competency of practitioners.
• Monitors continuous development and maintenance of a credible process including routine auditing and reviewing of applications for Medical Staff Appointment/Privileges.
• Guides and ensures appropriate follow-up and action to address any potential concerns related to credentialing and privileging.
• Other Related Information:
• The Lead Credentialing Coordinator works under the supervision of the Director of Medical Staff Office and the Vice President Quality & Accreditation.
• This position serves as the Lead credentialing coordinator in the Medical Staff Office.

Working Conditions

• Climbing - Rarely
• Concentrating - Consistently
• Continuous Learning - Consistently
• Hearing: Conversation - Consistently
• Hearing: Other Sounds - Occasionally
• Interpersonal Communication - Consistently
• Kneeling - Rarely
• Lifting <10 Lbs. - Rarely
• Lifting 50+ Lbs. - Rarely
• Lifting <50 Lbs. - Rarely
• Pulling - Rarely
• Pushing - Occasionally
• Reaching - Rarely
• Reading - Consistently
• Sitting - Consistently
• Standing - Rarely
• Stooping - Occasionally
• Talking - Frequently
• Thinking/Reasoning - Consistently
• Use of Hands - Consistently
• Color Vision - Occasionally
• Visual Acuity: Far - Occasionally
• Visual Acuity: Near - Consistently
• Walking - Frequently

TriHealth SERVE Standards and ALWAYS Behaviors

Serve: ALWAYS...

• Welcome everyone by making eye contact, greeting with a smile, and saying "hello"
• Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist
• Refrain from using cell phones for personal reasons in public spaces or patient care areas

Excel: ALWAYS...

• Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met
• Offer patients and guests priority when waiting (lines, elevators)
• Work on improving quality, safety, and service

Respect: ALWAYS...

• Respect cultural and spiritual differences and honor individual preferences.
• Respect everyone's opinion and contribution, regardless of title/role.
• Speak positively about my team members and other departments in front of patients and guests.

Value: ALWAYS...

• Value the time of others by striving to be on time, prepared and actively participating.
• Pick up trash, ensuring the physical environment is clean and safe.
• Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.

Engage: ALWAYS...

• Acknowledge wins and frequently thank team members and others for contributions.
• Show courtesy and compassion with customers, team members and the community

About Us

Careers at TriHealth are diverse. From clinical to administrative, sales to service, our team members contribute skills that are as varied as the services we offer and the people we serve. As an employer, TriHealth demonstrates the organization's values by offering comprehensive benefits packages, competitive wages, and milestone recognition.

Explore our career options to help you determine the type of job best for you as well as help narrow your search within our website. We look forward to you joining the TriHealth family!