Credentialing Coordinator

2 weeks ago

Fargo North Dakota, United States CommonSpirit Health Full time

Position Overview:
This role may involve a combination of remote and onsite work following the completion of training. Initial training will take place in the office.

LOCAL CANDIDATES ONLY
Job Purpose:

The Credentialing Coordinator is responsible for overseeing, tracking, and managing the credentialing and re-credentialing processes. This includes all facets of the credentialing operations for the health system and its verification organization. Key responsibilities encompass initial appointments, reappointments, and the management of expirables, as well as clinical privileging for both Medical Staff and Advanced Practice Clinicians.

Ensures adherence to the relevant accrediting and regulatory standards while maintaining a comprehensive understanding of the laws and regulations governing credentialing.

This position is accountable for the precision and reliability of the credentialing database and associated applications.

At CommonSpirit Health, we prioritize your well-being just as much as that of our patients.

We recognize the importance of personal responsibilities outside of work and are committed to supporting your overall health and wellness.

Our benefits include:

- Health/Dental/Vision Insurance
- Direct Primary Plan (No copay, no deductible, with 24/7 access to providers)
- Premium Access to our Family Care Program for childcare, pet care, and adult dependent care
Voluntary Protection:
- Group Accident, Critical Illness, and Identity Theft Protection
- Employee Assistance Program (EAP) for you and your family
- Paid Time Off (PTO)
- Tuition Assistance for professional development
- Matching 401(k) and 457(b) Retirement Plans
- Adoption Assistance
- Wellness Programs
- Flexible Spending Accounts

CommonSpirit Health is a nonprofit Catholic health system dedicated to enhancing health for all individuals. Formed in February 2019 through the merger of Catholic Health Initiatives and Dignity Health, we operate over 2000 care sites, including clinics, hospitals, and virtual care services, with a commitment to compassion and community health.

Our mission is to build healthier communities, advocate for the underserved, and innovate in how and where healing occurs, both within our facilities and in the broader community.


Key Responsibilities:

- Review practitioner applications and supporting documents to verify eligibility.
- Conduct comprehensive background checks, research, and primary source verification of all application components.
- Identify issues requiring further investigation, validate discrepancies, and ensure appropriate follow-up.


- Prepare credentialing files for completion and forward all necessary information to relevant entities, ensuring timely completion.

- Process requests for privileges, ensuring compliance with established criteria.


- Address inquiries from other healthcare organizations and collaborate with internal and external stakeholders on credentialing and privileging matters.

- Assist with managed care delegated credentialing audits.

- Utilize the Medical Staff credentialing database to enhance efficiency, performing queries, reports, and document generation.

- Monitor the initial, reappointment, and expirables processes for all medical staff and advanced practice clinicians.

Qualifications:

- High School diploma or equivalent required.
- Strong verbal and written communication skills.
- Skills in program planning and implementation.
- Knowledge of relevant accreditation and certification standards.
- Familiarity with medical credentialing and privileging procedures.
- Ability to analyze and interpret research findings and prepare reports.
- Understanding of clinical and hospital operations.
- Proficient informational research skills.
- Capacity to manage and handle confidential information with discretion.
- Database management skills, including querying and reporting.
- Ability to make informed administrative decisions.

PREFERRED Qualifications:

- Knowledge of accreditation and certification standards.
- Familiarity with medical credentialing and privileging processes.
- Understanding of clinical and hospital operations.

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