Credentialing & Provider Enrollment Coordinator

Children’s Hospital of Philadelphia•Philadelphia, PA

1d•$62,900 - $80,200•Onsite

About The Position

This role performs detailed and diversified administrative and clerical functions relating to the maintenance of all documentation and credentialing. This role requires driving of administrative functions, provision of direct physician support, collaboration with stakeholders, and both efficient and effective management of documentation and credentialing efforts within the Department of Radiology - across the Enterprise and affiliate locations.

Requirements

High School Diploma / GED - Required
At least three (3) years education, medical staff or physician related credentialing experience - Required
Advanced proficiency with office software (Microsoft Office) including word processing and spreadsheet software (Word, Excel. Adobe)
Intermediate proficiency with processing renewals, verifications and data searches
Intermediate knowledge of credentialing management database systems
Excellent verbal and written communications skills
Strong organizational skills
Strong time management skills
Strong conflict resolution skills
Ability to maintain confidentiality and professionalism
Ability to collaborate with stakeholders at all levels

Nice To Haves

Bachelor's Degree - Preferred
At least five (5) years education, medical staff or physician related credentialing experience - Preferred

Responsibilities

Maintain credentialing, licensure or accreditation compliance
Communicate with leadership regularly to review status and criteria to ensure compliance with CHOP and regulatory standards.
Advise leadership of anticipated problems involving credentialing, licensure or accreditation
Maintain and perform computerized and/or manual recordkeeping functions
Monitor data collection to ensure licensure and credentials are current
Coordinate periodic requests for information from stakeholder departments such as Public Relations, Development and Marketing
Ensures that primary source verifications are performed in a timely manner
Provide administrative oversight for internal systems
Develop and maintain automated response programs for accurate notification of time-sensitive documents pending expiration
Continually review internal documents and updates as required for regulatory compliance
Ensure that primary source verifications are performed in a timely manner
Assures superior credentialing customer service
Use independent judgment when problem solving; Seek assistance from manager, team lead, or team member immediately when necessary
Recognize customer concerns, prioritize them appropriately and follow-up within 24 hrs on all queries
Monitor compliance of assigned departments for all outstanding documents, files and/or signatures required to complete appointments and/or reappointments
Provide administrative support to leadership
Provide support for periodic projects as required as part of ongoing effort to regulatory requirements
Coordinate related annual activities including audit data submission, site visits and surveys