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Credentialing Coordinator
2 months ago
Icon Consultants is seeking a highly organized and detail-oriented Credentialing Coordinator to join our team. As a Credentialing Coordinator, you will be responsible for facilitating the management and coordination of the complex credentialing and privileging process of physicians, mid-level providers, research associates, professionals, and paraprofessional individuals across multiple facilities in and outside San Antonio, Texas.
Key Responsibilities:
- Guide providers through the credentialing and re-credentialing process, ensuring the completion of required documentation for all facilities where the provider delivers services.
- Prepare all credentialing applications, develop, and provide documentation that are not supplied by the provider, addressing any additional information or corrections requested.
- Verify and track the proper credentialing and re-credentialing of physicians, professionals, and paraprofessional individuals within all facilities where the provider has privileges.
- Receive credentialing applications and enter data into the credentialing system.
- Work with providers to maintain and ensure compliance for all licensures and appointments with state and governmental agencies and certifications for each provider, generating monthly reports of expiring credentials.
- Ensure ongoing monitoring of performance between credentialing cycles, generating performance review documentation, sharing with the department for completion, and notifying external entities when a provider has been suspended, if necessary.
- Work with departments to obtain proof of Professional Liability coverage.
- May provide support and information needed for monthly credentialing committee meetings, providing reports to the committee of initial and reappointments.
- Notify providers and departments of credentialing status and final results, emailing notice to departments and providers, ensuring the credentialing system is updated with final credentialing results.
- Ensure the website accurately reflects providers' credentials once cleared.
- Track and ensure the completion of required continuing medical education courses/workshops, providing documentation to outside entities according to requirements.
- Conduct customer service tasks such as responding to providers, applicants, administrators, and hospital inquiries, providing documents to physicians/office staff seeking copies.
- Perform all other duties as assigned.
Requirements:
- Associate's degree is required. Will accept experience in lieu of education.
- Three (3) years of administrative experience, preferably in the hospital or clinical field, is required.