Credentialing Coordinator

🔥 16 hours 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 by assisting applicants with required documentation • Perform credentialing tasks under CVO management direction for Trinity Health RHMs • Follow credentialing policies and procedures and maintain an accurate physician database • Collect data and participate in credentialing process changes • Assist with identifying and scheduling reappointment candidates • Perform file audits and provide feedback on credentialing files • Assist with training and orientation of new team members • Perform daily data entry and facilitate new RHM data integration or conversion • Communicate with applicants and RHMs to complete credentialing requirements within specified timeframes • Contact primary sources by telephone, fax, mail, and Internet to obtain verifications • Prepare verification documentation and summaries of verified references • Assist with reappointment applications, including information collection, verification, and follow-up • Meet processing time thresholds with minimal errors • 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, and policies • Follow safety practices and report hazards

🎯 Requirements

• Must possess two years of post-high school education, training, or experience • One year of work experience in the 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, report generating languages, PCs, and Windows-based word processing software • Strong communication skills • Strong statistical, analytical, and problem-solving skills • Strong organizational skills and attention to detail and thoroughness • Ability to work autonomously and within a team environment • Must comply with Trinity Health policies and procedures • Ability to organize work priorities, adapt to frequently changing priorities, and work on multiple tasks/projects • Ability to complete work during high-pressure periods while maintaining flexibility and a pleasant attitude • Current CPCS and/or CPMSM eligibility preferred but not required

🏖️ Benefits

• Equal Opportunity Employer commitment • Professional development programs and participation in professional organizations