Credentialing Coordinator

Credentialing Coordinator

At St. Luke's, we pride ourselves on fostering a workplace culture that values diversity, promotes collaboration, and prioritizes employee well-being. Our commitment to excellence in patient care extends to creating an environment where our team can thrive both personally and professionally. With opportunities for growth, competitive benefits, and a supportive community of colleagues, St. Luke's is truly a great place to work.

The Credentialing Coordinator supports departmental activities to ensure quality in conducting, maintaining, and communicating physician credentialing, privileging, and primary source verifications.

What You Can Expect:

• Determines applicant's initial eligibility for membership/participation. Analyzes application and supporting documents for completeness and informs the practitioner of the application status, including the need for any additional information.
• Facilitates the re-credentialing/reappointment process for eligible providers.
• Compiles, evaluates, and presents the practitioner-specific data collected for review by one or more decision-making bodies. Processes requests for privileges.
• Obtains and evaluates information received from primary sources.
• Recognizes, investigates, and validates discrepancies and adverse information obtained from the application, primary source verifications, or other sources.- Participates in ongoing assessment of governing documents (bylaws, rules and regulations), standards and policies to ensure continuous compliance.
• Displays entry level knowledge of key functions, terminology, and work products of legal, information technology, risk management, and performance concepts.
• Possesses beginning to working knowledge of subject matter.
• May verify and document expirables using acceptable verification sources to ensure compliance with accreditation and regulatory standards.
• May collaborate with physician leaders to develop and maintain a facility-specific, criteria-based clinical privileging system in accordance with regulatory requirements, accreditation standards, and organizational policies.
• May coordinate meetings of the medical staff organization.- May coordinate and develop provider on-boarding processes (orientation, training activities, and IT access).
• May conduct, participate in, and maintain focused and ongoing professional practice evaluation processes for privileged providers.
• May facilitate event reporting incidents through the medical staff leadership including documentation of resolution.
• May observe audits of regulatory and/or delegated credentialing entities.
• Performs other duties and responsibilities as assigned.

Qualifications:

• Education: High School Diploma or equivalent.

At St. Luke's, caring for people in the communities we serve is our mission – and this includes our SLHS team. We offer a robust benefits package to support our teams both professionally and personally. In addition to a competitive salary and retirement plans, we ensure our team feels supported in their benefits beyond the typical medical, dental, and vision offerings. We care about you and have fantastic financial and physical wellness options, such as: on-site massages, on-site counseling via our Employee Assistance Program, access to the Personify Health Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals.

St. Luke's is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law.

*Please note: this posting is not reflective of all job duties and responsibilities and is intended to provide an overview to job seekers.