Coordinator, Credentialing
4 months ago
Reports to Manager Physician Credentialing and Peer Review. Performs daily functions of the credentialing and recredentialing process by processing applications for Physicians, Renal Fellows, and Non-Physician Practitioners. Credentials providers according to all Credentialing Policies and Procedures, Medical Staff Bylaws, and Federal and State regulatory requirements. Works with various departments and clinic personnel as a resource and to ensure timely credentialing.
DUTIES & RESPONSIBILITIES:
Reports to the Credentialing Services Manager and performs all day-to-day activities related to the credentialing and recredentialing of facility providers Responsible for processing a high volume of privilege requests from: Physicians, Renal Fellows, Nurse Practitioners, Physician Assistants, and Clinical Nurse Specialists Review and track requests to add/remove practitioners to facilities in assigned states Reviews and manages practitioner files for content and completeness and to identify potentially adverse information in accordance with guidelines established by the Medical Staff Bylaws. Generates and tracks primary source verifications for credentialing process as required by appropriate regulatory bodies and the Medical Staff Bylaws. Communicating with practitioners regarding credentialing status, providing updates and obtaining additional information as required Assures the integrity of information and verification source data when performing the data entry into the credentialing software for collection and maintenance of an accurate practitioner database. Organize and distribute information needed for committee meetings and for facilitating governing body votes. Maintain confidential files on all providers. Scan documentation of approved membership/privileges and privilege letters and ensure timely notification is sent to practitioners Follow up on all outstanding vote requests and provide ongoing expirables maintenance Serve as liaison between Credentialing Department and facilities to assist with education of and compliance with Medical Staff BylawsMINIMUM QUALIFICATIONS:
Associates or Bachelor’s degree preferred CPCS certification preferred 2-4 years related credentialing experience and/or training: or equivalent combination of education and experience. Previous credentialing experience highly preferred Ability to positively interact with practitioners, practitioner office groups, and other internal and external contacts Excellent computer skills including Excel, Word, Database maintenance, and Internet use. Knowledge of MSOW credentialing software a plus. Deals with confidential information and/or issues using discretion and judgmentWhat We’ll Provide:
More than just pay, our DaVita Rewards package connects teammates to what matters most. Teammates are eligible to begin receiving benefits on the first day of the month following or coinciding with one month of continuous employment. Below are some of our benefit offerings.
Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out Support for you and your family: Family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave and more Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita’s online training platform StarLearning.#LI-JS5
At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed Diversity & Belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and an affirmative action employer. As such, individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic.
Applications are accepted on an ongoing basis.
Salary/ Wage Range
Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience and may fall outside of the range shown. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at
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