Provider Credentialing Coordinator - Hybrid, Dallas

Integrative Emergency Services, LLC; Dallas (TX); Hybrid; USD 42,000 - 72,000; Full time

Job summary

Integrative Emergency Services, LLC is seeking a Provider Credentialing Coordinator to work directly with health care Providers, facility Medical Staff Offices (MSOs), and Credentials Verification Organizations (CVOs) to secure and maintain privileges at assigned medical facilities. The role is hybrid, based at the corporate office in North Dallas, TX, 75244.

Key duties include managing initial and reappointment processes, preparing credentialing files for ACOs, coordinating file reviews,

Qualifications

• High school diploma or equivalent experience.
• Minimum 1 year of credentialing experience.
• Thorough understanding of the provider privileging process.
• Bachelor’s degree preferred.

Responsibilities

• Manage assigned book of business throughout the initial and reappointment process.
• Prepare credentialing files for required ACOs.
• Create credentialing files and enters all pertinent credentialing information received from the provider's initial and reappointment application.
• Upload supporting documents to the document vault in the company database.
• Coordinate file reviews for accuracy and prepares discrepancies for quality review and approval.
• Research and obtain verification of clinicians' medical experience, professional references, state licensure, DEA registration, DPS credentials, and other required documentation.
• Coordinate with facility, centralized verification services, medical staff, and clinicians to complete privileging process, including any additional documentation, references, and applications using consistent follow-up as necessary.
• Facilitate the State required collaborative agreement and APP supervision process.
• Provider routine status updates for each assigned book of business in the system dashboard.
• Maintain company database with current documentation, licensure and updated demographics.
• Maintain accurate site rosters with current privileged providers at all times.
• Ensure providers maintain all current licensure and certifications to remain active at hospitals.
• Collaborate with multiple teams and departments across organizations to impact outcomes.
• Build strong relationships with clients, providers, and Medical Staff Offices.
• Support and lead hospital credentialing efforts for new clients.
• Adhere to all company policies and procedures.

Skills

Interpersonal skills

Organizational skills

Verbal/written communication

Detail oriented

Multitasking

Customer service orientation

Excel proficiency

Databases

English proficiency

Education

High school diploma

1 year credentialing experience

Provider privileging knowledge

Bachelor's degree

Tools

MS Office

Excel

Databases

Job description

DISCOVER IES

Integrative Emergency Services(“IES”) LLC, is a physician founded, owned, and led company whose goal is to empower physician leaders to create the best places to give and receive care. We are a clinically integrated and outcomes-based organization with a commitment to doing the right thing for our clinicians, patients, and communities. Through our commitment to patient care and reinvestment in our physicians, IES has a proven track record of improving patient outcomes and producing results that uphold the hospitals' reputations in which we operate. We strive to create a culture of continuous improvement, community, and recognizing our Physician leaders. To learn more, visit our website IES.Healthcare and click to see a highlight of our 12th Annual Quality Summit.

POSITION SUMMARY

Integrative Emergency Services, LLC ("IES") is looking for a Provider Credentialing Coordinator to work directly with health care Providers, facility Medical Staff Offices (MSOs), and Credentials Verification Organizations (CVOs), to ensure providers secure and maintain privileges to work at assigned medical facilities. Will be working in a hybrid capacity at the corporate office in North Dallas, TX, 75244.

ESSENTIAL DUTIES AND RESPONSIBILITIES

The responsibilities listed here represent the majority of the role but are not all-inclusive; other duties may be assigned.

• Manageassigned book of business throughout the initial and reappointment process
• Prepareprovider credentialing files for required ACOs (Accountable Care Organizations).
• Createcredentialing files and enters all pertinent credentialing information received from the provider'sinitial and reappointment application.Uploadsupporting documents to the document vault in the company database.
• Coordinatefile reviews for accuracy and prepares discrepancies for quality review and approval.
• Researchand obtainverification of clinicians' medical experience, professional references, state licensure, DEA registration, DPS credentials, and other required documentation.
• Coordinatewith facility, centralized verification services, medical staff, and clinicians to complete privileging process, including any additional documentation, references, and applications using consistent follow-up as necessary.
• Facilitatethe State required collaborative agreement and APP supervision process.
• Provideroutine status updates for each assigned book of business in the system dashboard
• Maintaincompany database with current documentation, licensure and updated demographics.
• Maintainaccurate site rosters with current privileged providers at all times.
• Ensureproviders maintain all current licensure and certifications to remain active at hospitals.
• Collaborate with multiple teams and departments across organizations to impact outcomes
• Build strong relationships with clients, providers, and Medical Staff Offices
• Support and lead hospital credentialing efforts for new clients
• Adhere to all company policies and procedures.

QUALIFICATIONS

Knowledge, Skills, Abilities: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.

• Excellent interpersonal, organizational, and verbal/written communication skills
• Result and detail oriented with ability to drive assigned task to closure in a fast-paced environment.
• Ability to manage multiple priorities
• Strong customer service orientationAbility to use discretion appropriately and maintain confidentiality
• High levels of proficiency with MS Office applications including Excel
• Familiarity with databases
• Ability to read, write and speak English proficiently

Education / Experience:

Includes minimum education, technical training, and/or experience preferred to perform the job.

Required:

• High school diploma or equivalent experience
• Minimum 1 year of credentialing experience
• Thorough understanding of the provider privileging process

Preferred:

• 2-4(+) Years of Provider Credentialing experience ideallyin hospital settings
• Bachelor’s degree

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

• Specific vision requirements include the ability to see at close range, distance vision, peripheral vision, depth perception, and the ability to adjust focus
• While performing the duties of this job, the employee is regularly required to talk and hear
• Frequently required to stand, walk, sit, use hands to feel, and reach with hands and arms
• Possess the ability to fulfill any office activities normally expected in an office setting, to include, but not limited to: remaining seated for periods of time to perform computer based work, participating in filing activity, lifting and carrying office supplies (paper reams, mail, etc.)
• Occasionally lift and/or move up to 20-25 pounds
• Fine hand manipulation (keyboarding)

WORK ENVIRONMENT:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.

• Office environment -4835 Lyndon B Johnson Fwy #900, Dallas, TX 75244
• Hybrid: Typically 3 days in office (Tuesday-Thursday)
• Standard business hours apply, with flexibility as needed to accommodate early mornings, evenings, or occasional weekend projects and meetings.
• The noise level in the work environment is typically low.

ADA & Reasonable Accommodation Statement:

IES is committed to providing equal employment opportunities to qualified individuals with disabilities. In accordance with the Americans with Disabilities Act (ADA), reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job. If you require accommodation during the application or employment process, please contact [e-mail] environment

Office environment

The company is committed to creating a diverse, inclusive, and equitable environment and is proud to be an equal opportunity employer. Qualified applicants of any age, race, religion, nationality, sexual orientation, gender identity or expression, disability, or veteran status will receive equal consideration for positions. We welcome people of diverse backgrounds, experiences, and abilities and believe that the unique experiences of our team drive our success.