CVO Coordinator, Credentialing

Job not on LinkedIn

🔥 1 hour ago

🏈 Ohio – Remote

🏈 Ohio – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

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University Hospitals

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

📚 Education

💰 $2M Grant on 2021-07

Healthcare • Medical Services • Education

University Hospitals is a leading healthcare provider that offers a wide range of medical services, including primary care, specialty care, and urgent care. With a focus on patient-centered care, UH also engages in medical education and research, ensuring high-quality treatment and innovative healthcare solutions. The institution is recognized nationally for its excellence in various medical specialties, providing accessible healthcare to the community and beyond.

📋 Description

• Oversee the initial credentialing process • Analyze and evaluate primary source verification data and documents • Perform data entry and maintain data integrity in the credentialing database • Analyze and process initial applications using independent critical thinking and investigative review • Maintain knowledge of and adhere to hospital and external accreditation and regulatory standards, including Joint Commission, CMS, and NCQA • Serve as a content expert and participate in onboarding and training new team members • Apply current trends and practices in credentialing • Assist with initial credentialing projects • Manage data quality and integrity for web-based applications through systematic audits • Analyze and manage credentialing database data according to strict data standards • Manage pending staff database records • Support integration of new hospital acquisitions by setting up staff records in MSOW, organizing scanned files, and training new team members • Assist the CVO System Manager with creating electronic work processes in the credentialing database • Participate in development of new technologies and database modules and perform upgrade testing • Audit initial appointment files for newly credentialed providers and status/privilege changes • Ensure requirements are met and set up practitioner records that feed multiple downstream systems • Perform other duties as assigned and comply with organizational policies and standards • Maintain the security and appropriate use of patient PHI

🎯 Requirements

• Bachelor's Degree required, or three years of direct credentialing experience accepted in lieu of a bachelor's degree • 3+ years of experience working in a similar role, preferably in a healthcare setting • 2+ years of experience with database utilization and data management • Strong analytical and quantitative skills • Advanced verbal, writing, and editorial skills • Attentive listening skills • Confidence interacting with UH Senior Leaders, Physicians, Board Members, and outside agencies • Critical thinking skills for independent procedural decisions and judgments • Skill in establishing priorities and independently coordinating day-to-day activities • Knowledge of medical terminology • Excellent communication and organizational skills • Ability to work in a fast-paced environment • Ability to multi-task • Excellent computer skills, including Microsoft applications, Adobe Acrobat Professional, and credentialing databases • Experience performing process, operational, and system audits • Analytical thinking, organization, and attention to detail • NAMSS CPCS and/or CPMSM certification required within 5 years • Ability to safely and securely maintain Protected Health Information (PHI) • Ability to meet occasional travel requirements

🏖️ Benefits

• Remote work • Full-time regular employee status • Day shift • Annual training • NAMSS CPCS and/or CPMSM certification support/requirement within 5 years