Provider Credentialing Coordinator - Hybrid, Dallas

Integrative Emergency ServicesDallas, TX
1dHybrid

About The Position

Integrative Emergency Services, LLC ("IES") is looking for a Provider Credentialing Coordinator to work directly with health care providers and hospital Medical Staff Offices (MSOs) to ensure providers secure and maintain privileges to work at assigned hospital facilities. Responsible for researching and obtaining verification of physicians' medical: education, experience, training, and board certification(s), professional references, state licensure, Drug Enforcement Administration (DEA) registration, Controlled Substance Registration/ Department of Public Safety (DPS) credentials, institutional affiliations, work history, and previous and current medical malpractice insurance. Evaluates data to ensure accuracy for client. Will be working in a hybrid capacity at the corporate office in North Dallas, TX, 75244. IES is dedicated to cultivating best practices in emergency care, providing comprehensive acute care services, creating value, and supporting patients, employees, clients, providers, and physicians in pursuit of the highest quality health care.

Requirements

  • Excellent interpersonal, organizational, and verbal/written communication skills
  • Result and detail oriented with ability to drive assigned task to closure in a fast-paced environment.
  • Ability to manage multiple priorities
  • Strong customer service orientation
  • Ability to use discretion appropriately and maintain confidentiality
  • High levels of proficiency with MS Office applications
  • Familiarity with databases
  • Ability to read, write and speak English proficiently
  • High school diploma or equivalent experience
  • Minimum 1 year of credentialing experience

Nice To Haves

  • 2-4(+) Years of Provider Credentialing experience ideally in hospital settings
  • Bachelor’s degree

Responsibilities

  • Manage assigned book of business throughout the initial and reappointment process
  • Prepare provider credentialing files for required ACOs (Accountable Care Organizations).
  • Create credentialing files and enters all pertinent credentialing information received from the provider's initial and reappointment application. Upload supporting documents to the document vault in the company database.
  • Coordinate file reviews for accuracy and prepares discrepancies for quality review and approval.
  • Research and obtain verification of clinicians' medical experience, professional references, state licensure, DEA registration, DPS credentials, and other required documentation.
  • Coordinate with hospital, centralized verification services, medical staff, and clinicians to complete privileging process, including any additional documentation, references, and applications using consistent follow-up as necessary.
  • Facilitate the State required collaborative agreement and APP supervision process.
  • Provide daily status updates for each assigned book of business in the system dashboard.
  • Maintain company database with current documentation, licensure and updated demographics.
  • Maintain accurate site rosters with current privileged providers at all times.
  • Ensure providers maintain all current licensure and certifications to remain active at hospitals.
  • Collaborate with multiple teams and departments across organizations to impact outcomes
  • Build strong relationships with clients, providers, and Medical Staff Offices
  • Support and lead hospital credentialing efforts for new clients
  • Adhere to all company policies and procedures.
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