Sr. Credentialing Coordinator

Methodist Healthcare; United States; Remote; USD 40,000 - 80,000; Full time

Job summary

Join a forward-thinking healthcare organization dedicated to making a meaningful impact in the community. This role involves coordinating and overseeing the credentialing processes for medical staff, ensuring compliance with regulatory standards, and maintaining comprehensive databases. Ideal candidates will have a strong background in credentialing, excellent organizational skills, and a commitment to customer service. This position offers the opportunity to contribute significantly to the healthcare field while working in a collaborative and supportive environment.

Qualifications

• 3-5 years of Credentialing experience in a healthcare setting.
• Proficiency in regulatory compliance and accreditation standards.

Responsibilities

• Coordinate and maintain credentialing processes for medical staff.
• Ensure compliance with regulatory standards and prepare review files.

Skills

Credentialing

Regulatory Compliance

Data Integrity

Communication Skills

Organizational Skills

Customer Service

Process Improvement

Education

Associate's Degree

Bachelor's Degree in Business Administration, Management, or Healthcare Administration

Tools

Microsoft Office Suite

Visual Cactus

Databases

Job description

If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One!

We strive to be an employer of choice and establish a reputation for being a talent-rich organization where Associates can grow their careers caring for others. For over a century, we’ve served the health care needs of the people of Memphis and the Mid-South.

Responsible for coordinating, monitoring, and maintaining the Credentialing and Reappointment processes of the Centralized Credentialing Organization. Facilitates and performs all aspects of credentialing, including appointment, reappointment, monitoring, and privileging of the MHMH Medical Staff Members and Allied Health Professionals. Ensures compliance with accrediting and regulatory agencies. Models appropriate behavior as exemplified in The Methodist Mission, Vision, and Values.

What you will do

• Facilitate and perform all credentialing aspects for the CCO, including appointment and reappointment of Medical Staff and Allied Health Professionals, adhering to policies, procedures, and guidelines of all Regulatory bodies including TJC, NCQA, AAAHC, and the states. Responsible for preparing review files.
• Maintain comprehensive practitioner database files and related records, ensuring data integrity and completeness.
• Execute the Medical Staff and Allied Health privileging process according to the MHMH Medical Staff Bylaws, policies, procedures, and regulatory standards. Prepare files for review.
• Provide oversight and support to the Medical Staff credentials committee, facilitating meetings as per bylaws and policies.
• Prepare confidential and routine correspondence, reports, minutes, and other documents for the department.
• Perform additional duties as assigned.

Education/Formal Training Requirements

• Associate's Degree
• Bachelor's Degree in Business Administration, Management, or Healthcare Administration

Work Experience Requirements

• 3-5 years of Credentialing experience

Licenses and Certifications Requirements

• Certified Professional Credentialing Specialist - National Association Medical Staff Services

Knowledge, Skills, and Abilities

• Proficiency in administrative responsibilities aligned with education and training.
• Strong knowledge of State regulatory requirements and accreditation standards, including TJC, NCQA, AAAHC, and CMS.
• Ability to work independently and communicate effectively with hospital staff and medical professionals.
• Diplomacy, tact, and sound judgment skills.
• Proficiency in Visual Cactus, Microsoft Office Suite, mainframe systems, databases, and spreadsheets.
• Typing speed of 55 words per minute with minimal errors.
• Effective written and oral communication skills.
• Deductive reasoning and resourcefulness in using reference materials.
• Ability to handle assignments independently, demonstrating analytical and interpersonal skills.
• Commitment to excellent customer service, even under stress.
• Experience in process improvement and workflow efficiency.
• Strong organizational skills to prioritize and manage multiple tasks.

Supervision Provided by this Position

• This role does not include supervisory responsibilities.

Physical Demands

• Occasional travel to other facilities and physician offices.
• Ability to focus for extended periods and perform detailed technical work.
• Physical activities may include climbing, standing, walking, reaching, grasping, kneeling, stooping, and repetitive motions.
• Must have good balance and coordination.
• Light work exerting up to 25 lbs. occasionally and 10 lbs. frequently.
• Visual acuity for data analysis, transcription, and computer work.
• Work conditions are typical of an office environment, with minimal exposure to adverse conditions.