CVO Credentialing Coordinator

Responsibilities:

• Coordinates and monitors the review and analysis of practitioner applications and accompanying documents, ensuring applicant eligibility.
• Conducts thorough investigation, research, and timely primary source verification of all components of the application file.
• Identifies issues that require additional investigation and evaluation, validates discrepancies, and ensures appropriate follow-up.
• Reviews necessary documentation and verifications prior to submittal to clients, ensuring turnaround time, productivity, quality of data and communication and collaboration are within required KPI expectations.
• Responds to inquiries from other healthcare organizations, and interfaces with internal/ external customers on day-to-day credentialing/privileging issues as they arise.
• Utilizes and maintains the credentialing database, optimizes efficiency, and performs queries, reports, and document generation.
• Meets weekly performance metrics which include file completion, quality, and turnaround time.
• Maintains strict confidentiality of all data and information.
• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Embodies SCP Health and CS Partners core values: Respect, Courage, Collaboration and Agility.
• Performs miscellaneous job-related duties as assigned.
• Knowledge, Skills, and Abilities:
• Ability to work independently and to prioritize and manage multiple projects in a deadline-driven environment.
• Ability to apply critical and strategic thinking in solving issues/concerns.
• Ability to organize, prioritize, and manage time.
• Ability to communicate effectively at all levels within the organization.
• Must have excellent written and oral communication skills.
• Knowledge of Christus credentialing process and CS Partners and SCP Health clinician scheduling process.
• Proficient in Microsoft Office Suite (Word, Excel, PowerPoint, Windows, Outlook)
• EDUCATION:
• Bachelor’s degree in Business, Healthcare Administration, equivalent field, or equivalent work experience.
• WORK EXPERIENCE/QUALIFICATIONS:
• 3 to 5 years of experience in hospital or managed care clinician credentialing.
• Prior experience with the Christus credentialing process and CS Partners clinician scheduling process, preferred.
• CERTIFICATES AND LICENSES:
• Certified Provider Credentialing Specialist (CPCS) preferred.
• PRIMARY LOCATION:
• Remote - United States
• Pay Range:
• This range represents the anticipated base salary for this role. Actual compensation will be determined based on experience, qualifications, and internal equity considerations.
• We offer a comprehensive benefits package designed to support your health, financial well-being, and work-life balance, including medical dental, vision insurance, a 401(k) plan with a company match, paid time off and holidays, professional development support, and employee wellness resources.
• Visit our website for further information. https://myscpbenefits.com/
• Login name: corp-guest
• Password: weheal