Credentialing Coordinator Sponsor

CommonSpirit Health•Henderson, NV

2d•Onsite

About The Position

As a Credentialing Professional, you will be responsible for coordinating the credentialing, re-credentialing, and payer enrollment process for providers in accordance with delegated credentialing agreements, policies and procedures, industry best practices, and regulatory requirements. Every day you will manage daily credentialing operations, including resolution of non-responsive providers. You will also work collaboratively with various clinic managers and the hospital medical staff office to ensure the successful and timely completion of the delegated credentialing and re-credentialing process. To be successful in this role, you will demonstrate a comprehensive understanding of credentialing regulations and processes, possess strong organizational and communication skills, and effectively manage complex administrative tasks to ensure provider compliance and efficient operational flow. Prepares agendas for medical department and by-laws meetings. Types medical department and by-laws meeting minutes. Processes physician application and reappointment applications for permanent and temporary privileges. Completes physician processing and participates in orientation Prepares licensure/insurance expiration letters and reports. Manages the physician mentoring/monitoring process. Maintains and updates physician data base.

Requirements

High School Graduate General Studies or High School GED
A minimum of three years in a higher level multi-tasking administrative support position in a Healthcare environment

Nice To Haves

College Degree
1-3 years credentialing experience in a hospital, surgery center, or centralized verification organization
Certified Provider Credentialing Specialist
Certified Medical Staff Recruiter

Responsibilities

Coordinate the credentialing, re-credentialing, and payer enrollment process for providers.
Manage daily credentialing operations, including resolution of non-responsive providers.
Work collaboratively with clinic managers and the hospital medical staff office to ensure timely completion of credentialing and re-credentialing.
Prepare agendas for medical department and by-laws meetings.
Type medical department and by-laws meeting minutes.
Process physician application and reappointment applications for permanent and temporary privileges.
Complete physician processing and participate in orientation.
Prepare licensure/insurance expiration letters and reports.
Manage the physician mentoring/monitoring process.
Maintain and update physician database.