Credentialing Coordinator

2 weeks ago


Alhambra, California, United States AHMC Healthcare Full time
Job Summary

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.
Requirements
  • 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.
Accountability
  1. The incumbent is responsible for the timely processing of medical staff applications and reapplications.
  2. The incumbent is responsible for directing the development and coordination of specific projects assigned.
  3. This position is responsible for promoting an environment of teamwork with all members of the organization.
  4. The incumbent is responsible for assuring the assigned projects are completed in a timely and efficient manner.
  5. The incumbent is responsible for developing and training staff as necessary in order to execute new programs, and/or initiatives.
  6. The incumbent is responsible for coordinating with internal and external resources to ensure the success of the assigned projects.
  7. This position is responsible for assuring all stakeholders are well informed and have the tools necessary to execute as needed.
  8. 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.
  9. The incumbent is responsible for acting in an ethical manner at all times.
  10. The incumbent is accountable for maintaining confidentiality.
  11. The incumbent is responsible for complying with all company policies and procedures.
  12. The incumbent is responsible for complying with all local, state, and federal laws.


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