Credentialing Coordinator (Dentistry Practice Plan)

UT Health San Antonio•San Antonio, TX

About The Position

Under general supervision, the Credentialing Coordinator assures the proper credentialing and privileging of physicians, mid-level providers, research associates, professionals, and paraprofessional individuals within the School of Dentistry. The coordinator maintains and ensures compliance for provider licensure, appointments with state and governmental agencies, and certifications. The role also tracks and ensures completion of required continuing medical education courses and workshops.

Requirements

Ability to effectively serve customers' needs.
Strong attention to detail and accuracy.
Ability to work independently under limited supervision.
Strong multitasking and organizational skills.
Accuracy and thoroughness, including monitoring one's own work for quality.
Strong organizational and time management skills.
Proficiency in relevant software, such as the MS Office suite.
Strong verbal, written, and interpersonal communication skills.
High school diploma or GED.

Nice To Haves

Associate's degree or higher.
Certified Credentialing Coordinator.

Responsibilities

Guide providers through the credentialing and re-credentialing process and ensure required documentation is completed for UT Health School of Dentistry and all facilities where providers deliver services.
Work with providers to prepare and submit Medicare and Medicaid applications to the enrollment office.
Prepare credentialing applications, develop and provide documentation not supplied by providers, and address requests for additional information or corrections.
Verify and track credentialing and re-credentialing of physicians, professionals, and paraprofessional individuals within UT Health School of Dentistry and facilities where providers have privileges.
Receive credentialing applications and enter data into the credentialing system.
Work with providers to maintain compliance for licensure, state and governmental appointments, and certifications; generate a monthly report of expiring credentials.
Monitor performance between credentialing cycles, generate performance review documentation, share it with departments for completion, and notify external entities when a provider has been suspended, if necessary.
Work with departments to obtain proof of professional liability coverage.
Provide support and information for monthly credentialing committee meetings and report initial credentialing and reappointments to the committee.
Notify providers and departments of credentialing status and final results, email notices, and update the credentialing system with final results.
Track and ensure completion of required continuing dental and medical education courses and workshops; provide documentation to outside entities as required.
Respond to providers, applicants, administrators, and hospital inquiries, and provide documents to physicians or office staff who request copies.
Perform other duties as assigned.