Credentialing Coordinator

🔥 0 minutes ago

🚗 Michigan – Remote

🚗 Michigan – Remote

💵 $21 - $32 / hour

⏰ Full Time

🟢 Junior

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Trinity Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

📚 Education

🤝 Non-profit

Healthcare • Education • Non-profit

Trinity Health is a Christian K-12 educational institution located in Wichita, Kansas, dedicated to providing a Christ-centered education that nurtures spiritual growth and academic excellence. The academy emphasizes the importance of faith in students' lives, integrating spiritual development with rigorous academic programs and a broad array of extracurricular activities, including athletics and fine arts. Trinity Health fosters a supportive community where teachers and families collaborate to help students develop a personal relationship with Jesus Christ and excel in their studies.

📋 Description

• Ensure timely completion of initial and recredentialing applications • Assist applicants in submitting documentation required to process applications • Perform credentialing tasks under the direction of CVO management for Trinity Health RHMs • Follow credentialing policies and procedures • Maintain an accurate physician database • Collect data and participate in credentialing process changes • Identify and schedule reappointment candidates • Audit files and provide feedback on credentialing files • Assist with training and orientation of new team members • Perform daily data entry and data conversion for new RHMs • Communicate with applicants and RHMs to complete credentialing requirements within specified timeframes • Contact primary sources to gather verifications by telephone, fax, mail, and Internet • Prepare verification documentation and reference summaries • Assist with reappointment applications and follow-up • Meet processing time thresholds with minimal error • Assist with drafting RHM privilege forms in the credentialing database • Maintain confidentiality of patient, physician, employee, visitor, and external-entity information • Track errors and complaints to support process improvement • Maintain knowledge of applicable laws, regulations, standards, compliance programs, and policies • Perform other duties assigned by the Director

🎯 Requirements

• Two years of post-high school education, training, or experience • One year of work experience in a health care environment • General knowledge of the health care industry, including hospital settings, physician practices, and managed care organizations • Knowledge and understanding of NCQA and TJC standards, NPDB guidelines, hospital policies and procedures, and general licensing regulations • Knowledge and experience with database organization and management • Experience with report generating languages, PCs, and Windows-based word processing software • Strong communication skills • Strong statistical, analytical, and problem-solving skills • Ability to provide quality service • Strong organizational skills and attention to detail and thoroughness • Ability to work autonomously and within a team environment • Ability to comply with Trinity Health policies and procedures • Current CPCS and/or CPMSM eligibility preferred but not required

🏖️ Benefits

• Professional development programs • Participation in professional organizations • Equal Opportunity Employer