Credentialing and Medical Staff Coordinator Sr

Credentialing and Medical Staff Coordinator Sr Job Description

WHY UT SOUTHWESTERN?

With over 75 years of excellence in Dallas‑Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world‑renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the number 1 hospital in Dallas‑Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on‑site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you’ll discover a culture of teamwork, professionalism, and a rewarding career!

JOB SUMMARY

Works under minimal supervision to perform functions related to credentialing and privileging of physicians and other practitioners.

BENEFITS

PPO medical plan, available day one at no cost for full‑time employee‑only coverage 100% coverage for preventive healthcare—no copay Paid Time Off, available day one Retirement Programs through the Teacher Retirement System of Texas (TRS) Paid Parental Leave Benefit Wellness programs Tuition Reimbursement Public Service Loan Forgiveness (PSLF) Qualified Employer Learn more about these and other UTSW employee benefits!

EXPERIENCE AND EDUCATION

Required Education High School Diploma or equivalent, knowledge of anatomy and physiology, medical terminology, knowledge of both NCQA and JCAHO standards, and parliamentary procedures Experience 3 years experience or equivalent knowledge in the field of medical staff credentialing and Licenses and Certifications

• CPCS) CRT PROVIDER CREDENT SPEC Upon Hire or within 2 years or
• CPMSM) Cert Prof Medical Staff Mgmt Upon Hire or within 2 years

Preferred Experience 5 years of Medical Staff/Managed Care credentialing experience.

JOB DUTIES

Completes the initial appointments and reappointments for the Faculty and Community‑based physicians of the assigned Department(s). Completes the required follow‑up work associated with the approval of the initial appointment or reappointment. This includes the issuance of a Board letter, the entering of privileging into the database, and completion of a final review of the physical file and data entry. Generates the required physician profile to validate volume/activity requirements and to validate volume requirements associated with specific privilege criteria. Conducts reviews of managed care documentation and policies. Completes necessary revisions and prepares the documents for submission for approval. Conducts required reports or audits. Maintains documentation of review activity as required by NCAQ standards. Reviews findings of reports or audits with the Manager and/or staff members. Completes projects as assigned and in a timely manner. Maintains knowledge of and compliance with Joint Commission/NCQA standards for Medical Staff. Performs other duties as assigned.

SECURITY AND EEO STATEMENT

Security This position is security‑sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information. UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. In accordance with federal and state law, the University prohibits unlawful discrimination, including harassment, on the basis of race; color; religion; national origin; gender, including sexual harassment; age; disability; citizenship; and veteran status. Additionally, it is UT Southwestern policy to prohibit discrimination on the basis of sexual orientation, gender identity, or gender expression. #J-18808-Ljbffr The University of Texas Southwestern Medical Center