Credentialing Coordinator Part-time, Day (Dalles)
Role Overview
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.
Full Job Posting
Job Requirements
- Education and Work Experience:
- High School Education/GED or equivalent: Preferred
- Associate’s/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:
- Adventist Health 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.
- Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.
Preferred Qualifications
- High School Education/GED or equivalent: Preferred
- Associate’s/Technical Degree or equivalent combination of education/related experience: Preferred
- Five years' relevant experience: Preferred
- Healthcare industry experience: Preferred
- Commercial healthcare experience: Preferred
About Adventist Health Rideout
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