Credentialing Coordinator

University of Arkansas System • Little Rock, AR

1d • Onsite

About The Position

The Credentialing Coordinator supports the Professional Staff Office functions, including: primary source verifications of expirables, outpatient ordering provider processing, practitioner status requests and terminations of credentialed and managed care practitioners; Credentials Committee agenda support; credentialing file maintenance; scanning of practitioner files; project management tasks; administrative functions related to the Bylaws, Rules and Regulations, and Departmental Policies and Procedures; and regulatory compliance.

Requirements

• High School Diploma/GED PLUS four (4) years of experience in medical staff services, credentialing office, physician’s office practice, hospital admissions, medical records, or other health care related fields.

Responsibilities

• Coordinate the credentialing and re-credentialing process for physicians, advanced practice providers, and other clinical practitioners.
• Collect, verify, and maintain provider credentials, including licenses, certifications, education, training, work history, and professional references.
• Process initial appointments, reappointments, privileging, and credentialing applications in accordance with organizational policies and regulatory requirements.
• Conduct primary-source verification of licenses, certifications, DEA registrations, malpractice coverage, education, training, and other required credentials.
• Prepare credentialing files and applications for review by medical staff leadership, credentialing committees, and governing bodies.
• Monitor expiration dates and ensure timely renewal of licenses, certifications, registrations, and other provider credentials.
• Maintain accurate and confidential provider credentialing records in electronic databases and credentialing systems.
• Communicate with providers, medical staff offices, licensing boards, hospitals, insurance companies, and other external organizations to obtain required documentation.
• Identify incomplete or discrepant information and follow up with providers and appropriate departments for resolution.
• Assist with provider privileging by ensuring requested clinical privileges are supported by appropriate education, training, experience, and documentation.
• Track credentialing applications and provide status updates to providers and leadership.
• Ensure credentialing activities comply with applicable regulatory, accreditation, and organizational standards.
• Assist with audits and surveys by preparing credentialing documentation and reports.
• Maintain confidentiality of sensitive provider and organizational information.
• Collaborate with Medical Staff Services, Human Resources, Provider Enrollment, Compliance, Legal, and clinical departments.
• Perform other duties as needed.

Benefits

• Health: Medical, Dental and Vision plans available for qualifying staff and family
• Holiday, Vacation and Sick Leave
• Education discount for staff and dependents (undergraduate only)
• Retirement: Up to 10% matched contribution from UAMS
• Basic Life Insurance up to $50,000
• Career Training and Educational Opportunities
• Merchant Discounts
• Concierge prescription delivery on the main campus when using UAMS pharmacy

What This Job Offers

• Career Level: Entry Level
• Education Level: High school or GED