Credentialing Coordinator PRN

Consolidated Pathology Nashville – Credentialing Coordinator Working as a Credentialing Specialist, you will work closely with our laboratory teams to ensure the credentials of medical professionals are exemplary. Credentials may include, but are not limited to, educational background, licenses, fellowships, certifications, and work experience. By verifying and auditing credentials, you will be part of a team devoted to upholding standards of excellence and providing the highest level of care to our patients. Responsibilities Manage the credentialing process for pathologists. Verify the accuracy and completeness of provider applications, ensuring that all required documents are submitted. Conduct thorough background checks, license verifications, and references to ensure compliance with regulatory standards for each state that our client ASCs are located in. Coordinate with Laboratory Director and external agencies to obtain and update relevant provider information. Maintain accurate and up-to-date electronic and hard copy files of all credentialing documentation and make it available as needed. Communicate with providers to address any discrepancies or missing information. Monitor expiring licenses and credentials, proactively initiating the renewal process to avoid any disruption in services. Stay up-to-date with industry regulations and requirements, ensuring compliance at all times. Assist in preparing for and participating in audits and regulatory reviews. Provide support and guidance to internal staff regarding credentialing and privileging processes. Qualifications Bachelor's degree in healthcare administration, business, or related field Certified Provider Credentialing Specialist (CPCS) designation Experience with credentialing in a medical or healthcare setting Knowledge of relevant federal and state regulations Strong communication and interpersonal skills Minimum of 2 years of experience in credentialing or provider enrollment. Strong knowledge of industry regulations, such as the National Committee for Quality Assurance (NCQA) and The Joint Commission (TJC) standards. Proficient in using credentialing software and databases for data entry and maintenance. Benefits Medical, dental, vision, and prescription coverage Life and AD&D coverage Availability of short- and long-term disability Flexible financial benefits including FSAs and HSAs 401(k) and access to retirement planning Paid holidays and vacation #J-18808-Ljbffr United Surgical Partners International, Inc