Credentials Coordinator (Remote)

Adventist Health•Roseville, CA

6d•Remote

About The Position

Adventist Health is seeking a Credentials Coordinator for a full-time position working 8-hour day shifts. This role supports Adventist Health Clear Lake in a remote work environment. The ideal candidate will have strong credentialing experience and a commitment to providing exceptional support to our medical staff services operations. The position coordinates and processes all medical staff applications for appointment/reappointment for assigned areas of responsibility, according to established procedures. It also coordinates the physician initial application appointment process for the organization in accordance with the Joint Commission on the Accreditation of Health care Organizations (JCAHO) standards and medical bylaws. The role acts as a liaison between organization administration and the Medical Staff, and coordinates small program(s) with limited budget/impact.

Requirements

High School Education/GED or equivalent
Associate’s/Technical Degree or equivalent combination of education/related experience
Five years' relevant experience
Healthcare industry experience
Commercial healthcare experience

Responsibilities

Coordinates and processes all medical staff applications for appointment/reappointment for assigned areas of responsibility, according to established procedures.
Coordinates physician initial application appointment process for the organization in accordance with the Joint Commission on the Accreditation of Health care Organizations (JCAHO) standards and medical bylaws.
Acts as liaison between organization administration and the Medical Staff.
Coordinates small program(s) with limited budget/impact.
Initiates letters of inquiry regarding education, training, personal medical references, staff affiliations, board certifications, out-of-state licensure and relevant information.
Requests verification from the Medical Board of California for current state licensure.
Queries the National Practitioner Databank.
Creates confidential files on new practitioners and obtain copies of state licensure/s and certificates, if applicable.
Conducts thorough background investigation, research and primary source verification of all components of the application file.
Performs primary source verification of all necessary elements through letters or faxes, websites, telephone verifications or equivalent sources.
Follows up on all incomplete or problematic information in a timely and consistent manner.
Ensures that all reappointments are completed and reviewed by the appropriate credentialing entity before expiration date.
Tracks license and certification expirations for all providers to ensure timely renewals.
Assists with conducting an annual review of Medical Staff Bylaws, rules and regulations and all documents pertinent to the medical staff who are maintained in the department.
Submits sections for revisions to appropriate committees.
Keeps current with legal issues necessary for implementation of the bylaws etc.
Oversees provider information in online credentialing databases and system.
Performs other job-related duties as assigned.