Office/Credentialing Coordinator - FT - Days - Pho

Office/Credentialing Coordinator - FT - Days - Pho - 22102DHR Health - US:TX:McAllen - DaysSummary:FLSA STATUS: Exempt Non-ExemptMISSION STATEMENT:Our Mission is to improve the well-being of those we serve with a commitment to excellence: every patient, every encounter, every time.VISION:Our Vision is to create a world-class health system to advance medicine and increase access for the communities we serve by empowering caregivers to heal through compassion, knowledge, innovation, integrated care and excellence.POSITION SUMMARY:Works to promote and support the functions of DHR Physicians Health Plus (DHR PHO) and assist its members. Participates in activities to achieve all DHR PHO goals and requirements. Is the primary person responsible for all activities involved in coordinating, organizing and maintaining records of educational events for PHO members. Is the primary person responsible for sending monthly membership invoices. Provides support in data analysis for assigned projects, and DHR PHO credentialing as necessary including the processing of new physician applications within the PHO. Communicates and provides feedback to team members. Assists the PHO Director and PHO Supervisor as needed to achieve Department goals and deadlines. Performs general office work, including typing, preparation of confidential and special reports.POSITION EDUCATION/ QUALIFICATIONS:Associate or Bachelor's degree preferred.Minimum two (2) years of physician credentialing experience preferred.Three to five (3-5) years in physician office or healthcare environment preferred.Minimum three (3) years in practice management with knowledge of overall management of a medical clinic or healthcare environment preferred.Certification in medical office management preferred.Knowledge of general office procedures, including but not limited to filing and recordkeeping required.Computer skills required with knowledge of Microsoft Office Suite.Working knowledge of medical terminology preferred.Excellent customer service and interpersonal skills required.Good written and verbal communication skills required.Bilingual – English/Spanish required.JOB KNOWLEDGE/EXPERIENCE:Promotes the facility mission, vision and values by effectively communicating them to others. Considers mission, vision and values in helping to develop departmental services, standards and practicesWorks well with other departments in order to expedite PHO functions, programs and marketing of its benefits.Provides excellent customer service to all members of the PHO Members as well as their staff and hospital co-workers and patients, when the opportunity arises.Must be well organized for prioritization of responsibilities.Must be able to handle stress relative to rush projects and meeting deadlines. Must be able to work under pressure in a highly a productive office.Must be able to cope with interruptions, varying personalities and some irregular hours.Must possess organizational and communication skills.Must possess willingness to improve and take on additional responsibilities.Responsibilities:POSITION RESPONSIBILITIES:Is the primary person who handles all activities and duties relating to educational seminars for medical practice staff and other sponsored events including but not limited to the following:Assists Director with Educational Calendar as needed (adding/canceling/rescheduling events).Creates flyers for new webinars.Verifies by internet or phone call Practice Management Institute's (PMI) on a daily basis and communicates this with Director. Makes necessary adjustments to the PHO Educational Calendar.Emails all PHO members' managers information regarding upcoming educational courses/webinars and takes their reservations by phone or email. Follows up with confirmatory email prior to the event.Creates Excel worksheet for each educational program and maintains reservations current and accessible to other PHO team members.Secures the space at the venue, i.e. Conference Center or elsewhere when necessary and ascertains that seating is adequate for the expected number of participants.Assures all required equipment is available and working (Microphone, laptop, telephone and internet services) for all presentations.Plans meals with Director for luncheons and other meetings and prepares catering forms for Food and Nutrition Department as required, adjusting the quantity as necessary.Signs registrants in for educational programs and remains available for issues that may arise during the program.Verifies accuracy of invoices from Caterer and/or Food and Nutrition Department and prepares check/credit card request forms according to Hospital policy/procedure.Accomplishes Department and organization mission by completing related tasks with professionalism and courtesy.Works closely with Practice Management Institute (PMI) and other educational partners in receiving materials and rosters for educational courses and certifications.Maintains administrative workflow by developing consistent reporting procedures.Conducts follow-up reminders (fax, phone and by mail, if indicated) regarding attendance in educational programs and other events, as necessary.Maintains sign-in sheets, sends certificates, presentation handouts and other necessary documentation to participants.Maintains accurate records regarding participation in the educational programs and updates Educational Activity Reports in a timely and consistent manner.Assists in general mailings for the PHO to promote events and general mission of the PHO and to recruit new members.Is the primary person responsible for sending invoices and collecting membership dues.Sends monthly invoices to members in a timely manner and follows up as needed by phone, fax, email and mail as necessary.Communicates with Director on delinquent membership dues regularly and maintains log of delinquent accounts/membership dues.Completes check/credit card requests as directed by PHO Director for professional memberships, resources and trainings.As necessary assists with credentialing activities in accordance with established policies and procedures including but not limited to maintaining and verifying current Texas Licensures, DEA, DPS and malpractice insurance on all DHR PHO members.Identifies inconsistencies in credential files and performs corrective follow-up.Maintains confidential credentials files of all members of the DHR PHOReviews new applications for completeness, prepares, and sends for records status of responses. Send follow - up requests when needed.Photocopies and scans documents for each provider file and for meetings as necessary.Obtains signatures on credentials forms and credentials files as needed.Copies records at Medical Staff Office as necessaryMaintaining and verifying current Texas Licensures, DEA, DPS and Malpractice insurance on all DHR PHO members.Assists with sending, receiving and cataloguing Messenger Notices to PHO members as necessary.Maintains confidentiality of all records and issues handled in the DHR PHO office, including proceedings, discussions and Board meetings.Provides recommendations for Department goals, policies and procedures, and process improvements in areas that impact his/her duties.Performs site visits at physicians' offices as assigned using the form developed by PHO Director and approved by Board.Has primary responsibility of management of Superior managed care contract. Updates participation rosters as necessary and sends updated rosters to MCO as well as troubleshoots issues for providers and staff.When necessary assists in conducting Managed Care Organization auditsFollows up on medical office inquiries and concerns and questions and routes them to the appropriate PHO team member.Responsible for typing, faxing correspondence, reports etc as needed and required by the Department.Creates Inventory Log and Update inventory log as needed and orders needed supplies as neededAssists PHO Director and PHO Supervisor as necessary.Performs all other assigned duties.