Credentialing Coordinator

Job Description

Job Description

Job Summary

Credentialing Coordinator

Talented Medical Solutions

Contract

In-Office | The Dalles, OR, United States

Day Shift/5 8's on site at Columbia Gorge.

Minimum of 3 years of experience in medical staff in an acute care/hospital setting and familiar with Joint Commission standards.

Must have CPCS/CPMSM.

Preferably onsite with experience in Oregon standards.

In the heart of The Dalles, Oregon, Our facility in Columbia Gorge has served the Columbia River Gorge community since 1901. We are comprised of a 49-bed hospital, various medical offices, home health, a birthing center and a vast scope of services located throughout The Dalles and the surrounding areas. The Dalles is known for its picturesque views of the Columbia River, local charm and delicious downtown restaurants and bakeries. There is something for everyone in this scenic community.

Job Summary:

Coordinates and processes all medical staff applications for appointment/reappointment for assigned areas of responsibility, according to established procedures.

Coordinates physician initial application appointment process for the organization in accordance with the Joint Commission on the Accreditation of Health care Organizations (JCAHO) standards and medical bylaws.

Acts as liaison between organization administration and the Medical Staff.

Coordinates small program(s) with limited budget/impact.

Job Requirements:

Education and Work Experience: High School Education/GED or equivalent: Preferred

Associates/Technical Degree or equivalent combination of education/related experience: Preferred

Five years' relevant experience: Preferred Healthcare industry experience: Preferred

Commercial healthcare experience: Preferred

Facility Specific License/Certifications: Certified Professional Medical Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS): Required

Essential Functions:

Initiates letters of inquiry regarding education, training, personal medical references, staff affiliations, board certifications, out-of-state licensure and relevant information.

Requests verification from the Medical Board of California for current state licensure.

Queries the National Practitioner Databank.

Creates confidential files on new practitioners and obtain copies of state licensure/s and certificates, if applicable.

Conducts thorough background investigation, research and primary source verification of all components of the application file.

Performs primary source verification of all necessary elements through letters or faxes, websites, telephone verifications or equivalent sources.

Follows up on all incomplete or problematic information in a timely and consistent manner.

Ensures that all reappointments are completed and reviewed by the appropriate credentialing entity before expiration date.

Tracks license and certification expirations for all providers to ensure timely renewals.

Assists with conducting an annual review of Medical Staff Bylaws, rules and regulations and all documents pertinent to the medical staff who are maintained in the department.

Submits sections for revisions to appropriate committees. Keeps current with legal issues necessary for implementation of the bylaws etc.

Oversees provider information in online credentialing databases and system.

Performs other job-related duties as assigned.

Organizational Requirements:

Our facility is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.

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