Senior Credentialing Coordinator - Onsite- Medical Staff credentialing

SGS Consulting; Austin (TX); On-site; USD 46,000 - 75,000; Full time

Job summary

SGS Consulting is seeking a Credentialing Specialist to oversee all aspects of practitioner credentialing, mentor staff, and act as a liaison across departments to ensure accuracy and compliance with HIPAA guidelines.

You will coordinate with regulators, maintain current licensure records, track meeting minutes, and lead at least one major project that advances the department's strategic initiatives while ensuring timely, high-quality outcomes.

Qualifications

• 3+ years of experience in verification of practitioner credentials (licenses, boards, education) and credentials.
• High school Diploma.

Responsibilities

• Oversee all aspects of credentialing for practitioners.
• Serve as role model and mentor to staff interfacing credentialing duties.
• Precept and mentor designated staff in credentialing tasks.
• Coordinate staff with regulators and maintain compliance with bylaws, rules, and policies.
• Record and track meeting minutes and prepare agendas when required.
• Update credentialing databases and ensure system accuracy.
• Track licensure status and monitor changes affecting staff credentials.
• Collaborate with other departments to achieve department goals.
• Manage projects and timelines to deliver high-quality work.

Skills

Credentialing experience

Education

High school Diploma

Job description

Job Responsibilities

Responsible for all aspects of credentialing Serves as role model and mentor to others in interfacing relevant roles Preceptor to others in duties related to credentialing Cross trains other staff for major job responsibilities as appropriate for optimum functioning Serves as liaison between staff and administration Oversees credentialing activities Precepts and mentors designated staff personnel Coordinates staff with regulators May facilitate staff meetings May be responsible for the preparation of meetings, including production of agenda, documents for review and for personal review and preparation of staff in advance, as needed to facilitate informed participation.May be responsible for accurate and timely recording of meeting minutes. Assists staff in enforcing bylaws, rules and regulations, policies and procedures, and identifies /communicates the need for revisions and additions. Tracks current licensure required for staff.May record and track meeting attendance as required by staff bylaws for maintaining staff status.May provide support for staff and administration for Due Process Proceedings by attending hearings and appeals meetings and recording proceedings.Tracks monitoring/proctoring documentation necessary for the granting of special or new privileges to staff.Updates the database for the credentials, and keeps computer system current.May help coordinate staff functions Follows the CHRISTUS Guidelines related to the Health Insurance Portability and Protected Health Information ACT (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI).Collaborate with all other departments as appropriate and required to facilitate the completion of tasks/goals. Responsible for all aspects of compliance with the standards of credentialing and accrediting bodies. Communication, Coordination, Collaboration with all customers, internal and external Responsible for at least one major project that contributes to the strategic initiatives of the department.Serves as Liaison to staff in matters of credentialing and related issues. Manages projects and timelines to achieve highest quality work within allotted period.

Skills

3+ years of experience in verification of practitioner credentials (licenses, boards, education) and credentials.

Education and Experience

High school Diploma.