Credentialing Coordinator
2 weeks ago
We are seeking a highly skilled Credentialing Coordinator to join our team at AHMC Healthcare. The successful candidate will be responsible for coordinating the credentialing and re-credentialing process, ensuring timely and accurate processing of medical staff applications and reapplications.
Key Responsibilities- Process medical staff applications and reapplications in accordance with AHMC hospitals' medical staff bylaws, policies, and regulatory requirements.
- Comply with AHMC hospitals' policies and procedures, and perform the credentialing and re-credentialing process in a timely and accurate manner.
- Return applications that do not meet the basic AHMC hospital medical staff membership requirements within established timelines.
- Input required information accurately in the Verification Checklist within the MD-Staff database program.
- Keep the CVO Director informed of potential problems relating to pending applications or reapplications.
- Process reapplications timely and prior to the expiration of the current appointment.
- Obtain pertinent information on malpractice claims, data banks reports, AMA profiles, etc., and relay the information to the immediate supervisor and the appropriate AHMC hospital.
- Demonstrate thorough knowledge of the credentialing, appointment, reappointment, and profiling process, including knowledge of MD-Staff.
- Two (2) years of credentialing experience in a hospital medical staff office.
- College degree preferred.
- Knowledge of federal, state, and local healthcare regulations.
- Knowledge of HIPAA and privacy regulations.
- Excellent grammar, composition, and communication skills.
- Ability to communicate effectively with internal and external resources.
- Excellent oral and written skills.
- Ability to work independently.
- Must possess excellent human relation skills.
- Must possess excellent critical thinking skills.
- Possess strong organizational skills with ability to multi-task, and prioritize workload.
- Ability to interpret, prepare, and present reports to management in both written and oral formats.
- Ability to make presentations, design and provide training education to staff and management.
- The incumbent is responsible for the timely processing of medical staff applications and reapplications.
- The incumbent is responsible for directing the development and coordination of specific projects assigned.
- This position is responsible for promoting an environment of teamwork with all members of the organization.
- The incumbent is responsible for assuring the assigned projects are completed in a timely and efficient manner.
- The incumbent is responsible for developing and training staff as necessary in order to execute new programs, and/or initiatives.
- The incumbent is responsible for coordinating with internal and external resources to ensure the success of the assigned projects.
- This position is responsible for assuring all stakeholders are well informed and have the tools necessary to execute as needed.
- The incumbent is accountable for communicating to immediate supervisor of any possible issues, which may arise in order to proactively develop an action plan to minimize or eliminate the issue.
- The incumbent is responsible for acting in an ethical manner at all times.
- The incumbent is accountable for maintaining confidentiality.
- The incumbent is responsible for complying with all company policies and procedures.
- The incumbent is responsible for complying with all local, state, and federal laws.
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