Credentialing Coordinator

Dartmouth-Hitchcock Health • Lebanon, NH

77d

About The Position

Facilitate the credentialing and re-credentialing of eligible population across all D-H H system members.

Requirements

• High school diploma or equivalent with 3 years of experience in healthcare or Human Resources.
• Associates degree in business or healthcare related field preferred.
• Strong written and verbal interpersonal skills required.
• Must be detail oriented.
• Demonstrated proficiency in word processing, spreadsheet software, database management and data entry preferred.

Responsibilities

• Process the credentialing and re-credentialing, including the validation of identity, training, experience, reputation and competence of applicants applying or re-applying for membership.
• Provides communication regarding the credentialing and re-credentialing process and requirements.
• Obtains missing information and clarifies any inconsistencies identified between submitted documentation and verifications.
• Ensures timely completion of credentialing and re-credentialing applications.
• Ensures that the credentialing/re-credentialing programs maintain compliance with regulatory standards (e.g. TJC, NCQA and CMS, etc.), internal policies and D-H Professional Staff Bylaws, Rules and Regulations.
• Conducts quality assurance reviews on credentialing and re-credentialing files.
• Enters new data, maintain existing records, and assists in the continued development of the comprehensive credentialing database.
• Provides support to system members regarding education and training around the Credentialing process.
• Performs other duties as required or assigned.

What This Job Offers

• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees