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Credentialing Coordinator

🔥 0 minutes ago

🚗 Michigan – Remote

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💵 $21 - $32 / hour

⏰ Full Time

🟢 Junior

🦅 H1B Visa Sponsor

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👻 Ghost score 0%

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Logo of Trinity Health

Trinity Health

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 by assisting applicants with required documentation • Perform credentialing tasks under the direction of CVO management for Trinity Health RHMs • Follow credentialing policies and procedures and maintain an accurate physician database • Collect data and participate in developing and implementing credentialing process changes • Assist with identifying and scheduling reappointment candidates • Audit files and provide feedback on completed initial and reappointment credentialing files • Assist with training and orienting new team members • Perform daily data entry and assist with data conversion for new RHMs • Communicate with applicants and RHMs to complete credentialing criteria within specified timeframes • Contact primary sources by telephone, fax, mail, and Internet to gather verifications for background investigations • Prepare verification documentation and reference summaries for completed credential files • Assist with reappointment applications, including collecting, verifying, and following up on required information • Meet processing time thresholds consistently and with minimal error • Assist with drafting RHM privilege forms in the PCCB credentialing database module • Maintain confidentiality of patient, physician, employee, visitor, and hospital information • Track errors and complaints to support process improvement • Perform other duties assigned by the Director • Maintain knowledge of applicable laws, regulations, compliance programs, codes of conduct, policies, and procedures • Assume responsibility for performing duties safely and reporting hazards and unsafe practices

🎯 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 • Knowledge of report generating languages, PCs, and Windows-based word processing software • Current CPCS and/or CPMSM eligibility preferred but not required • Strong communication skills • Strong statistical, analytical, and problem-solving skills • Ability to provide quality service to others • Strong organizational skills, attention to detail, and thoroughness • Ability to work autonomously and within a team environment • Ability to comply with Trinity Health policies and procedures • Ability to organize work priorities, adapt to frequent changes, and work on multiple tasks/projects • Ability to complete work during high-pressure periods while maintaining flexibility and a pleasant attitude

🏖️ Benefits

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

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