Credentialing Professional
3 days ago
As a Credentialing Coordinator at JWCH Institute, you will play a vital role in supporting the administrative tasks related to various certification processes. This includes endorsements, renewals, and examinations, governed by state and federal regulations, as well as agency and institutional policies.
About the RoleThis position involves organizing, maintaining, and verifying the credentials of healthcare practitioners in a healthcare facility. You will prepare documents for review and approval by the credentialing committee, ensuring up-to-date credentialing files for physicians, mid-level providers, technicians, and nurses.
Responsibilities- Serve as the primary point of contact for providers, the credentialing committee, clinic administrators, and IPA/health plans.
- Coordinate the provider appointment process across all health centers.
- Process certification and examination applications, respond to inquiries from applicants, schools, and employers.
- Maintain a computerized database of records related to membership, continuing education, certification, disciplinary actions, and certification revocations.
- Respond to written inquiries via mail or email, providing information on certification status.
- Attend committee meetings, take detailed minutes, and manage records of those meetings.
- Verify certification information for other state agencies as needed.
- Create, update, and maintain educational brochures and other certification materials.
- Assist with the onboarding of new employees, including collecting copies of licenses, insurance, and renewal dates, if applicable.
- Maintain personnel, independent contractor, and medical files, including data entry and filing.
- Provide verbal and written support for supervisors as needed.
Requirements
- High school diploma or GED Certificate
- Associate's or bachelor's degree in healthcare administration, business, or a related field is preferred.
- Minimum of 1-2 years of experience in a credentialing, administrative, or healthcare-related role.
- Familiarity with healthcare provider credentialing, privileging, and certification standards.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook) and experience managing data in spreadsheets.
- Strong written and verbal communication skills, with the ability to interact professionally with healthcare providers.
- Bilingual (English/Spanish) is preferred.
- Experience handling and safeguarding confidential information in accordance with HIPAA and other privacy laws.
Estimated Salary: $55,000 - $65,000 per year, depending on experience.
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