Coordinator - Credentialing And Enrollment

Job Summary

Manages processes and procedures which lead to the appointment and reappointment of the applicants and current appointees of the medical and dental staffs. Ensures the timely and accurate completion and submission of applications for physicians, dentists and mid-level providers, in accordance with the Bylaws.

Essential Functions

• Processes and submits complete, timely and accurate applications to chief(s) of the appropriate department(s) for review and recommendation to the Facility Credentials Committees and communicates the status of credentialing applications to all constituents directly.

• Interprets and assists in implementing the standards of The Joint Commission.

• Prepares the maintenance documentation, as defined on the Delineation of Privileges Forms, for presentation to the Facility Credentials Committees at the time of reappointment.

• Processes requests and prepares correspondence to appointees regarding change of status, expansion of privileges (either an increase or a decrease), and resignations. Maintains and updates database accordingly.

• Serves as the first contact when communicating with hospital personnel regarding appointees clinical privileges and if they are allowed to go forward with cases, as scheduled.

• Prepares the appointees credentials files for audits.

• Maintains current licensure, certifications, malpractice insurance and any other applicable regulatory items at time of appointment and continuous maintenance going forward to ensure timeliness, accuracy and integrity of the credentialing and clinical privileging database system and compliance with the regulatory agencies.

Physical Requirements

Performs most work under normal office conditions. Work may require sitting for long periods of time, standing, walking, using repetitive wrist/arm motion frequently and lifting.

Education, Experience and Certifications

High School Diploma or GED required; Bachelor's Degree preferred. Certification by National Association Medical Staff Services or Certified Provider Credentialing Specialists preferred. Previous experience as a Credentialing Coordinator preferred. Knowledge of The Joint Commission standards for hospitals and Behavioral Health Centers preferred.