Credentialing Coordinator

Fairview Range•Hibbing, MN

1d•Onsite

About The Position

Fairview Range is hiring a Credentialing Coordinator for our Medical Staffing Department in Hibbing, MN. The Medical Staff Credentialing Office serves as the primary administrative interface between the Medical Staff and Site Administration. The Supervisor of the Medical Staff Credentialing Office is responsible for daily operations of the Fairview Range Medical Staff and Credentialing Office, and partners with site leadership to carry out goals of quality, patient safety and patient experience as they relate to the Medical Staff and the Credentialing processes. The Supervisor oversees the operational performance and soundness of all core medical staff services at Fairview Range and maintains visibility to any relevant industry and/or regulatory trends to ensure all regulatory standards and legal compliance are met. Schedule: This position will work 80 hours per two weeks. The shift length will be 8-hours on the day shift. No weekends. Internal Posting: 1/10/26 About Fairview Range Fairview Range is an affiliate of M Health Fairview, a partnership of Fairview Health Services, the University of Minnesota, and M Physicians. Together, we offer access to breakthrough medical research and specialty expertise as part of a continuum of care that reaches all ages and health needs. The most comprehensive health care network in northeastern Minnesota, Fairview Range includes Fairview Range Medical Center, Fairview Mesaba Clinics (with locations in Hibbing, Nashwauk, and Mountain Iron), Fairview Range Home Care and Hospice, and Fairview Transportation Services. Are you interested in joining our incredible team? Seize the opportunity by applying today! Apply today to join our 34,000+ employees and 5,000+ system providers working to build lasting relationships with the people we serve: our patients, our communities, and each other.

Requirements

Two-year degree or 4 years hospital credentialing experience OR 2 years hospital credentialing experience
2 years' experience in a health care setting working with credentialing, hospital management, medical staff and Joint Commission requirements.
Current Certified Provider Credentialing Specialist (CPCS) certification or Certified Professional Medical Services Management (CPMSM) through the National Association of Medical Staff Services within 2 Years of employment start date

Nice To Haves

Bachelor’s degree in business or health care related field
5 years' experience in hospital or health plan credentialing or medical staff office setting
CPCS or CPMSM certification by National Association Medical Staff Services

Responsibilities

Functions as the credentialing coordinator for Range Regional Health Services and responsible for the processing of provider applications according to medical staff policies and procedures, bylaws and JC standards.
Responsible for maintenance and accuracy of provider information in the credentialing database, and maintenance of the practitioner privilege book.
Maintains current and accurate credentialing files for each practitioner.
Manages confidential research required for credentialing of new appointees applying to the medical or allied health staff; coordinates completion of the credentialing process; collates and assesses information gathered for the initial evaluation for privileges and membership.
Coordinates processing of applications for medical staff appointment to include primary source verification of all pertinent information in compliance with acceptable standards for processing application in compliance with the medical staff bylaws, Minnesota state law and the JC standards. Prepares credentialing reports for Medical Staff Executive Committee and Board of Directors.
Manages confidential research required for continuous recredentialing/reappointment by processing information according to the medical staff bylaws; coordinates completion of the reappointment profile; collates and assesses information gathered for the reappointment evaluation.
Coordinates all requests for temporary privileges in accordance with medical staff bylaws and JC standards.
Responsible for the payer enrollment for all new providers. Completes all payer reappointments and makes sure they are submitted on a timely basis. Works with the Business Office on all credentialing questions and denials from payers. Maintains external payer credentialing databases.
Serve as the administrative support for the physician leadership of the organization.
Coordinates credentials file reviews with appropriate Chairs of Committees in a timely manner.
Coordinates, attends, records and transcribes minutes for Medical Staff Executive Committee meetings in a timely and accurate manner and does follow-up work as indicated.
Completes special assignments as requested by the medical staff leadership or administration.
Develop and distribute medical staff and service committee calendar.
Responds to external inquiries regarding practitioner appointments and past appointments.
Responsible for initial set-up and reappointments with third-party payers and professional liability carriers
Develop and maintain office systems that support and facilitate on-going provider feedback
Maintains current and accurate bylaws, rules and regulations, organization and functions manual, policy on appointment and reappointment of clinic privileges and medical staff policies.
Maintain current notary public commission. Perform other related duties as required. This list is not all-inclusive, and any other task or job may be assigned in the future.