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Provider Credentialing

3 months ago


Morgantown, West Virginia, United States West Virginia University Hospitals, Inc. Full time


Welcome We're excited you're considering an opportunity with us To apply to this position and be considered, click the Apply button located above this message and complete the application in full.

Below, you'll find other important information about this position.
Coordinates the transition of all relevant provider credentials, licenses, degrees, privileges, and certifications upon signing of a new provider.

Operational ownership of the centralized credentialing process includes interfacing with new provider (Physicians & APPs), gathering paperwork from CVO or other institutional governance body, coordinating all relevant documents, authorizations, and credentials for submission processes.

This role partners and work closely with department leadership, leaders throughout the system and other facilities including Departmental Leaders, Recruitment, Onboarding, Medical Staff Affairs, Hospital Medical Directors, Community Office Managers, HPN, and various State Board entities.


MINIMUM QUALIFICATIONS:
EDUCATION, CERTIFICATION, EXPERIENCE, AND/

OR LICENSURE:
1. Associates Degree OR High School Diploma or Equivalent AND 2 years of healthcare or administrative experience

PREFERREDQUALIFICATIONS:

EXPERIENCE:
1. One year of Experience with privileging/credentialing. 2. One year of Experience in a healthcare setting.

CORE DUTIES AND RESPONSIBILITIES:

The statements described here are intended to describe the general nature of work being performed by people assigned to this position.

They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

Facilitates the credentialing process for all incoming doctors and APPs:
Applies for state licensure, creates needed agreements, applies for drug dispensing licenses, completes multiple forms and packets, coordinates with outside facilities, training institutions and device companies for privilege specific documentation including international institutions, interacts with references, facilitates interactions between the physician and onboarding team, and acts as the liaison between medical staff affairs/provider enrollment and incoming providers

APP Specific Support:
Sets up and coordinates practice and collaborative agreements, monthly meeting minutes for weekly calls, and scheduling.

Functions as the APP payroll representative and assists the Manager/Director with APP time off requests, meetings, other clerical functions as needed, including but not limited to obtaining parking passes, ordering scrubs, EPIC set-up, CLB and NetLearning assistance, adding APPs to distribution lists, and email account set up.

Coordinates the completion of reappointment packets with providers, including building complex reports from multiple data sources to validate volume requirements.

Tracks state licenses, board certifications, and... For full info follow application link.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities. Please view Equal Employment Opportunity Posters provided by OFCCP here.

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant.

However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information.

41 CFR c)