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Credentialing CoordinatorCompany Envision Healthcare
Location Pensacola, FL 32502
Update 8 Day ago
The Credentialing Coordinators reviews practitioner’s application, obtains verification of credentials to procure malpractice coverage and confirm that the candidates meet the criteria as established by our contracts with the facility where the practitioner will be seeking privileges. The Credentialing Coordinators must develop and maintain an excellent working relationship with the Medical Staff Offices of the contracts they are assigned and are responsible for assisting the Medical Staff Offices as requested.
Essential Duties and Responsibilities -
Adhering to established credentialing guidelines completes in-depth review and analysis of practitioner’s application and accompanying documents ensuring applicant meets facility guidelines and eligibility. Examines researches, enters data, sets up files and gathers all information necessary to process information received from providers to support and complete the initial, reappointment and expirable credentialing process. Utilizes various websites, contacts educational facilities and professional references to verify credentials. Ensures compliance with facility Medical Staff Bylaws, Rules and Regulations, policies and procedures for hospital clients and EmCare
Extensive and frequent verbal and written communications with Clinicians, Medical Staff Offices, educational facility, state licensing boards, professional references and internal company staff, requiring professionalism and tact, to attain or provide all needed information quickly in order to expedite the credentialing of Clinicians. Provides excellent customer service in accordance with EmCare’s customer service standards to all internal and external parties.
Analyzes providers file for potential risk review and obtain malpractice coverage for all contracted providers thru appropriate entity. Ensures proper interpretation and compliance with the appropriate accrediting and regulatory agencies, while developing and maintaining a working knowledge of the statutes and laws relating to credentialing. Identifies issues that require additional investigation and evaluation, validates discrepancies and ensures appropriate follow-up. Communicates issues to management in a timely manner as appropriate.
Achieves compliance with Credentialing Department metrics and performance standards by adhering to the Credentialing process and documenting accurately in company databases. Accurately maintains systems data bases and spreadsheets to track, follow-up and disseminate hospital privilege status to other department in a timely manner. May be involved in generating and managing various reports for management, implementing best practices and working on projects as assigned.
Attend and participate in all team related meetings; participating in developing and implementing company-wide and team goals; participates in problem-solving and decision making; positively supports and adheres to corporate and division management decisions, being flexible and adaptable to change, establishing trust and respect for other team members and completing training as required.
Perform other duties as assigned.
Bachelor’s degree in related field preferred.
Credentialing certification a plus
Minimum of one year credentialing experience required or equivalent combination of education and experience
Knowledge of related credentialing, privileging, accreditation and certification procedures, requirements and hospital operations.
Ability to use independent judgment to manage and impart confidential information
Works independently, is self-directed and effectively in a team high paced environment. Ability to organize, prioritize, coordinate and follow thru on multiple activities and tasks in a timely manner.
Demonstrated proficiency in use of Microsoft Office applications; Word, Excel, Outlook; and conducting research using various websites.
Experience with State and Regulatory agency requirements as it relates to healthcare credentialing guidelines.
Excellent verbal and written communication skills are essential. Able to communicate and present information to a wide variety of parties effectively.