Sr Credentialing Coordinator

Methodist Le Bonheur Healthcare • Memphis, TN

58d • Onsite

About The Position

Responsible for coordinating, monitoring and maintaining the Credentialing and Reappointment processes of Centralized Credentialing Organization. Facilitates and performs all aspects of credentialing, including appointment, reappointment, monitoring and privileging of the MHMH Medical Staff Members and Allied Health Professionals. Ensures compliance with the accrediting and regulatory agencies. Models appropriate behavior as exemplified in The Methodist Mission, Vision and Values. Models appropriate behavior as exemplified in MLH Mission, Vision and Values. Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence.

Requirements

• Bachelor's Degree Business Administration/Management
• Credentialing 3-5 years
• Certified Professional Credentialing Specialist - National Association Medical Staff Services
• Significant working knowledge of State regulatory requirements and accreditation standards, including TJC, NCQA, AAAHC, and CMS standards.
• Ability to function with minimal supervision and to relate and communicate effectively with high level Associates within the hospital and in the community with medical staff and their office staffs.
• Ability to be tactful and exercise diplomacy and good judgment.
• Proficient in Visual Cactus and Microsoft Word, Excel, Access, and Power Point; proficient in mainframe system, databases, and spreadsheets.
• Ability to type 55 words per minute with minimum errors.
• Ability to read and write and to communicate both orally and in writing to other individuals.
• Demonstrates deductive reasoning and ability to use reference materials.
• Ability to handle assignments independently with demonstrated analytical and interpersonal skills.
• Demonstrates ability to maintain excellent customer service skills and customer relations under stressful conditions.
• Experience with following processes and continually improving processes and workflow to gain efficiencies of performance.
• Ability to set priorities, coordinate multiple tasks, organize tasks, and maintain control of workflow.

Nice To Haves

• Associates Degree
• Bachelor's Degree Healthcare Administration
• In lieu of Bachelor’s degree, the candidate must have a high school diploma or equivalent with eight (8) years of credentialing experience.
• 7-9 years

Responsibilities

• Facilitates and performs all aspects of credentialing for the CCO including appointment and reappointment of Medical Staff and Allied Health Professionals in accordance with the policies and procedures and in accordance with guidelines of all Regulatory bodies including the TJC, NCQA, AAAHC and the appropriate states.
• Responsible for preparing files for review.
• Administers and maintains comprehensive practitioner database files and other records, files and reports with particular emphasis on integrity and completeness of documentation.
• Executes the Medical Staff and Allied Health privileging process in accordance with the MHMH Medical Staff Bylaws, Rules and Regulations, policies and procedures and in accordance with guidelines of all Regulatory bodies including the TJC and the appropriate states.
• Provides oversight, administrative, and technical support to the Medical Staff credentials committee facilitation in accordance with the Medical Staff Bylaws, policies and procedures.
• Prepares confidential or routine memoranda, letters, reports, meeting minutes and other correspondence for the Department.
• Performs other duties as assigned.

Benefits

• The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior