Uniformly apply clearly defined credentialing or privileging processes to all practitioners/providers. Evaluate credentialing/privileging requests and evidence of education, training, and experience to determine eligibility for requested application, privileges and/or membership.
Obtain and assess information from various referral sources. Recognize, investigate, and validate discrepancies and adverse information obtained. Communicates findings and/or resulting actions to Credentialing Specialist, Director, Medical Staff and department peers as appropriate/policy.
Compile practitioner sanctions, complaints, and adverse data to ensure compliance. Demonstrate an understanding of state and regulatory standards. Demonstrate an understanding of state and regulatory standards in relation to telehealth and credentialing by proxy.
Manage, facilitate and maintain continuing medical education records for practitioners/providers.
Securely manage information as the single source of truth by effectively navigating database software and maintaining data integrity. Use database software for contracting, training, reporting, as well as integrating with other IT sy
Benefits
Health insuranceFlexible schedule
Additional Information
Position Status:
Full time Shift:
First Shift (Days - Less than 12 hours per shift) (United States of America) Hours per week:
40 Job Information
Exemption Status: Non-Exempt
A Brief Overview
The Credentialing Coordinator will assist in ensuring patient safety throughout Stormont Vail Health. This position works with the Medical Staff and Administration ensuring Stormont Vail Health (SVH), SVH Bylaws and other regulations are met through the medical staff and organizational processes. The Credentialing Coordinator is responsible for communicating information to the Credentialing Specialist, Director, Medical Staff and others as appropriate.
Education Qualifications
High School Diploma / GED Required
Associate's Degree Preferred
Experience Qualifications
3 years Experience with Microsoft office products including but not limited to; Excel, Word, and PowerPoint. Required
3 years Clerical experience. Required
2 years Prior health care industry experience. Preferred
1 year MD-Staff, MD-Stat experience. Preferred
Skills and Abilities
Confidentiality, Foster team cohesiveness and collaboration & Professional Ethics. Able to build relationships. (Required proficiency)
Ability to ask questions and to follow instructions/directions. (Required proficiency)
Able to follow medical staff bylaws, policies and procedures. (Required proficiency)
Able to be flexible and adaptive to time lines and situations. (Required proficiency)
Ability to analytically think. Ability to perform clinical competence evaluations. (Required proficiency)
Knowledge of change or database management. (Required proficiency)
Licenses and Certifications
Certified Provider Credentialing Specialist - NAMSS CPCS or CPMSM Preferred
Certified Provider Credentialing Specialist - NAMSS CPCS or CPMSM. Preferred
Stormontvail · Topeka, KS