Credentialing Coordinator II

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🔥 0 minutes ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Geisinger

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1915

🏥 Healthcare

💊 Pharmaceuticals

🧘 Wellness

Healthcare • Pharmaceuticals • Wellness

Geisinger is a healthcare organization that has been providing accessible medical services for over a century in Pennsylvania. It focuses on meeting the healthcare needs of its communities and is dedicated to innovative patient care. With career opportunities in various fields including nursing, allied health, and administration, Geisinger promotes professional development and a supportive workplace for its employees, emphasizing diversity, equity, and inclusion.

📋 Description

• Plan, coordinate, and oversee Provider Credentialing Program procedures and processes in compliance with regulatory requirements • Conduct background investigations for physicians and other providers, including licensure, education, clinical training, board certification, disciplinary actions, malpractice history, and peer assessment • Review and analyze physician applications and credentialing documents • Assess completeness of information and provider qualifications against established standards • Review and analyze primary-source verification for licensure, certification, or registration • Request, maintain, and ensure competency data at appointment and reappointment • Track drug screenings, background checks, child abuse clearances, fingerprinting, codes of conduct, policies, clinical competency data, and Health Service information • Report adverse applicant information to the manager and conduct follow-up investigations • Prepare, screen, mail, track, and respond to letters • Contact external sources to obtain information for credentialing investigations • Organize, maintain, audit, and confidentially manage physician files • Prepare files for Credentials Committee review and follow up on committee decisions • Maintain communication with physicians, office staff, and practice administrators • Assist with special projects, including physician education, JCAHO and Department of Health preparation, clinical competency data, and life supports • Maintain knowledge of JCAHO, Department of Health, Medical Staff bylaws, rules, regulations, and other regulatory standards • Maintain provider databases and extract information for reports, surveys, and provider directories • Adapt software to support efficient credentialing operations and continuous quality improvement

🎯 Requirements

• High school diploma or equivalent (GED) required • Minimum of 4 years of related work experience required • Communication • Computer literacy • Credentialing • Professional presentation • Ability to work independently • Knowledge of applicable regulatory agencies and credentialing requirements • Knowledge of JCAHO, Department of Health, Medical Staff bylaws, rules, and regulations • The posting does not qualify for a J-1 waiver

🏖️ Benefits

• Healthcare benefits for full-time and part-time positions from day one • Vision coverage • Dental coverage • Domestic partner benefits • Collaborative, cooperative, and collegial work environment • Affirmative action and equal opportunity employer