Credentialing and Medical Staffing Coordinator Sr

UT Southwestern Medical Center•Dallas, TX

About The Position

With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you'll discover a culture of teamwork, professionalism, and a rewarding career! JOB SUMMARY Works under minimal supervision to perform functions related to credentialing and privileging of physicians and other practitioners.

Requirements

High School Diploma or equivalent, knowledge of anatomy and physiology, medical terminology, knowledgeable of both NCQA and JCAHO standards, and parliamentary procedures
3 years experience or equivalent knowledge in the field of medical staff credentialing and
(CPCS) CRT PROVIDER CREDENT SPEC Upon Hire or
(CPMSM) Cert Prof Medical Staff Mgmt Upon Hire

Nice To Haves

5 years years of Medical Staff/Managed Care credentialing experience.

Responsibilities

Completes the initial appointments and reappointments for the Faculty and Community-based physicians of the assigned Department(s).
Completes the required follow-up work associated with the approval of the initial appointment or reappointment. This includes the issuance of a Board letter, the entering of privileging into the database, and completion a final review of the physical file and data entry.
Generates the required physician profile to validate volume/activity requirements and to validate volume requirements associated with specific privilege criteria.
Conducts reviews of managed care documentation and policies. Completes necessary revisions and prepares the documents for submission for approval.
Conducts required reports or audits. Maintains documentation of review activity as required by NCAQ standards.
Reviews findings of reports or audits with the Manager and/or staff members.
Completes projects as assigned and in a timely manner.
Maintains knowledge of and compliance with Joint Commission/NCQA standards for Medical Staff.
Performs other duties as assigned.

Benefits

UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:
PPO medical plan, available day one at no cost for full-time employee-only coverage
100%25 coverage for preventive healthcare-no copay
Paid Time Off, available day one
Retirement Programs through the Teacher Retirement System of Texas (TRS)
Paid Parental Leave Benefit
Wellness programs
Tuition Reimbursement
Public Service Loan Forgiveness (PSLF) Qualified Employer
Learn more about these and other UTSW employee benefits!