Credentialing Coordinator CVO

2 weeks ago


Irving, Texas, United States CHRISTUS Health Full time

Overview:

The Credentialing Coordinator within the CVO is accountable for the organization, oversight, and upkeep of the credentialing and re-credentialing procedures. This role ensures adherence to the relevant accrediting and regulatory standards while fostering a comprehensive understanding of the laws and regulations associated with credentialing. Additionally, the coordinator is tasked with maintaining the precision and reliability of the credentialing database.

Key Responsibilities:


• Upholds the standards of the OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.

• Facilitates and supervises the assessment and evaluation of practitioner applications and related documentation, confirming applicant qualifications.

• Conducts comprehensive investigations, research, and primary source verification of all elements within the application file.

• Identifies concerns necessitating further inquiry and assessment, validates inconsistencies, and ensures proper follow-up actions.

• Reviews essential documentation and verifications prior to submission to clients, ensuring that turnaround times and data quality meet established metrics.

• Addresses inquiries from other healthcare entities and collaborates with internal/external stakeholders regarding daily credentialing and privileging matters.

• Achieves weekly performance targets, which encompass file completion, quality assurance, and turnaround times.

• Utilizes and manages the credentialing database to enhance operational efficiency, performing queries, generating reports, and creating necessary documents.

• Maintains the confidentiality of all data and information rigorously.

• Executes various job-related tasks as assigned.

Qualifications:

  • Bachelor's Degree or equivalent professional experience
  • A minimum of 3 years of experience in hospital or managed care credentialing.
  • Certification as a Provider Credentialing Specialist (CPCS) is preferred.

Work Schedule:

To Be Determined

Work Type:

Full Time

EEO Compliance:

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