Sr Coordinator, Credentialing

DaVita Kidney Care; United States; Remote; USD 45,000 - 60,000; Full time

Job summary

A healthcare services provider is looking for a Credentialing Specialist to oversee credentialing and recredentialing for healthcare professionals. The ideal candidate will have prior credentialing experience and strong organizational skills. Responsibilities include managing workflows, conducting audits, and ensuring compliance with credentialing policies. This position offers comprehensive benefits and opportunities for professional development.

Benefits

Comprehensive benefits

Support for you and your family

Professional development programs

Qualifications

• 3-5 years related experience or equivalent combination of education and experience.
• Previous credentialing experience required.

Responsibilities

• Perform day-to-day credentialing and recredentialing activities.
• Train new teammates on the credentialing process.
• Assist with updating and maintaining current policies and procedures.
• Audit monthly CAC files and function as team lead.
• Process a high volume of privilege requests.
• Maintain confidential provider files.

Skills

Excellent communication and customer service skills

Excellent computer skills (Excel, Word, database maintenance)

Ability to handle confidential information

Detail-oriented and well-organized

Knowledge of MSOW credentialing software

Education

Associates or Bachelor's degree

CPCS certification

Job description

Overview

The Credentialing Specialist role reports to the Director Physician Credentialing and Peer Review. The incumbent performs daily functions of the credentialing and recredentialing process for Physicians, Renal Fellows, and Allied Health Professionals. Responsibilities include applying credentialing policies and procedures, complying with Medical Staff Bylaws and Federal/State regulatory requirements, and serving as a resource to clinic personnel to ensure timely credentialing. The position acts as a team lead to manage workflow, conducts audits, supports metrics reporting, and mentors new coordinators on policy, procedures, and the MSOW credentialing database.

Responsibilities

• Perform day-to-day credentialing and recredentialing activities for facility providers, reporting to the Credentialing Services Manager.
• Train new teammates on the credentialing process and the MSOW database; serve as a point person for credentialing questions related to processing or database entry.
• Assist with updating and maintaining current policies and procedures, credentialing manual, provider correspondence, and MSOW database processes; contribute to best practices and special projects.
• Track workflow for assigned coordinators and report to credentialing department management.
• Audit monthly CAC files and function as team lead on workflow aspects of the department.
• Process a high volume of privilege requests from Physicians, Renal Fellows, Nurse Practitioners, Physician Assistants, and Clinical Nurse Specialists.
• Review and track requests to add/remove practitioners to facilities within assigned divisions.
• Distribute application materials, review for completeness, follow up on outstanding items, and perform primary source verifications.
• Follow up with non-responsive practitioners and assist with obtaining credentialing packets and other documentation.
• Enter and update practitioner information in the credentialing database while maintaining data integrity.
• Organize information for committee meetings and governing body votes; maintain confidential provider files.
• Scan documentation of approved memberships/privileges and privilege letters; ensure timely notification to practitioners; follow up on outstanding vote requests.
• Serve as liaison between the Credentialing Department and facilities to educate and ensure compliance with Medical Staff Bylaws.
• Perform other duties as assigned.

Qualifications

• Associates or Bachelor's degree preferred; 3-5 years related experience or equivalent combination of education and experience.
• CPCS certification highly preferred.
• Previous credentialing experience required.
• Excellent computer skills (Excel, Word, database maintenance, Internet); knowledge of MSOW credentialing software a plus.
• Excellent communication and customer service skills; detail-oriented, well-organized, and able to multi-task.
• Ability to handle confidential information with discretion and judgment.

What We’ll Provide

• Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out
• Support for you and your family: Family resources, EAP counseling, access to Headspace, backup child and elder care, maternity/paternity leave and more
• Professional development: Various programs for growth and on-demand virtual leadership and development courses through StarLearning.

Location and compensation details: Wage ranges and location-specific minimums are provided by DaVita; see the offer for specifics. Equal opportunity employer; DaVita complies with state and federal affirmative action requirements.

Note: This position will be open for a minimum of three days. This description reflects the current requirements and may be updated as needed.